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