0001140361-15-006249.txt : 20150213 0001140361-15-006249.hdr.sgml : 20150213 20150213104213 ACCESSION NUMBER: 0001140361-15-006249 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150213 DATE AS OF CHANGE: 20150213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ATLANTIC AMERICAN CORP CENTRAL INDEX KEY: 0000008177 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 581027114 STATE OF INCORPORATION: GA FISCAL YEAR END: 0228 BUSINESS ADDRESS: STREET 1: 4370 PEACHTREE RD NE CITY: ATLANTA STATE: GA ZIP: 30319 BUSINESS PHONE: 4042665500 MAIL ADDRESS: STREET 1: 4370 PEACHTREE ROAD CITY: ATLANTA STATE: GA ZIP: 30319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Howell Robin Robinson CENTRAL INDEX KEY: 0001551391 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03722 FILM NUMBER: 15610712 MAIL ADDRESS: STREET 1: 3656 TUXEDO ROAD NW CITY: ATLANTA STATE: GA ZIP: 30305 5 1 doc1.xml FORM 5 X0306 5 2014-12-31 0 0 0 0000008177 ATLANTIC AMERICAN CORP AAME 0001551391 Howell Robin Robinson 4370 PEACHTREE ROAD, N.E. ATLANTA GA 30319 1 0 0 0 Common Stock 6025 D Common Stock 38000 I Custodian For Children Common Stock 3953256 I Trust Beneficiary Common Stock 2175 I By IRA Account Common Stock 695320 I By Spouse Common Stock 168200 I Trust F/B/O Children Common Stock 2014-11-25 5 W 0 190356 0 A 190356 I Trust F/B/O Children Mrs. Howell disclaims beneficial ownership of all such shares. Beneficiary under trust holding shares for her benefit and over which her mother, Harriett J. Robinson, is trustee. Mrs. Howell has an indirect interest in the following shares of Common Stock owned by her husband, Hilton H. Howell, Jr.: 491,954 shares owned directly and 203,366 shares owned through his 401(k) plan. Mrs. Howell disclaims beneficial ownership of all such shares. Shares held in a trust for the benefit of Mrs. Howell's children and over which her mother serves as trustee. Holdings adjusted to correct an overreporting of 210,250 shares. Mrs. Howell disclaims beneficial ownership of all such shares. Shares held in a trust for the benefit of Mrs. Howell's children and over which her mother serves as trustee. Mrs. Howell disclaims beneficial ownership of all such shares. Robin R. Howell 2015-02-13