0001327749-17-000015.txt : 20170125
0001327749-17-000015.hdr.sgml : 20170125
20170125140218
ACCESSION NUMBER: 0001327749-17-000015
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170125
DATE AS OF CHANGE: 20170125
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HESS JACK LEE
CENTRAL INDEX KEY: 0001520501
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-15341
FILM NUMBER: 17545827
MAIL ADDRESS:
STREET 1: 1195 RIVER ROAD
CITY: MARIETTA
STATE: PA
ZIP: 17547
5
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
5
2016-12-31
0
0
0
0000800457
DONEGAL GROUP INC
DGICA
0001520501
HESS JACK LEE
1195 RIVER ROAD
MARIETTA
PA
17547
1
0
0
0
Class A Common Stock
2011-05-06
5
J
0
L
171
A
3879
D
Class A Common Stock
17800
I
Retirement Plan
Reporting Person acquired the right to receive these shares of Class A common stock ("DGICA") as a result of the May 6, 2011 merger of Union National Financial Corporation ("UNFC") with and into Donegal Financial Services Corporation, pursuant to which each share of common stock of UNFC was converted into the right to receive 0.2134 DGICA shares and $5.45 in cash.
Due to an administrative oversight by the exchange agent, the 171 shares of DGICA that Reporting Person was entitled to receive as a result of the merger were not issued to Reporting Person's account until January 5, 2017.
Jeffrey D. Miller, by power of attorney
2017-01-25