0001209191-21-070157.txt : 20211217 0001209191-21-070157.hdr.sgml : 20211217 20211217130058 ACCESSION NUMBER: 0001209191-21-070157 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211216 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBSEN JEFFREY ALAN CENTRAL INDEX KEY: 0001810682 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15341 FILM NUMBER: 211500642 MAIL ADDRESS: STREET 1: 1195 RIVER ROAD STREET 2: P.O. BOX 302 CITY: MARIETTA STATE: PA ZIP: 17547 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DONEGAL GROUP INC CENTRAL INDEX KEY: 0000800457 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 232424711 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1195 RIVER RD PO BOX 302 CITY: MARIETTA STATE: PA ZIP: 17547-0302 BUSINESS PHONE: 7174261931 MAIL ADDRESS: STREET 1: 1195 RIVER ROAD STREET 2: BOX 302 CITY: MARIETTA STATE: PA ZIP: 17547 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-16 0 0000800457 DONEGAL GROUP INC DGICA 0001810682 JACOBSEN JEFFREY ALAN 1195 RIVER ROAD P.O. BOX 302 MARIETTA PA 17547 0 1 0 0 Sr. Vice President Class A Common Stock 100 D Class A Common Stock 15493 I 401(k) Plan Options 14.39 2021-12-16 4 A 0 18000 0.00 A 2022-07-01 2026-12-16 Class A Common Stock 18000 18000 D Mitchell J. Thoreson, by power of attorney 2021-12-17