0001140361-16-051952.txt : 20160212
0001140361-16-051952.hdr.sgml : 20160212
20160212102217
ACCESSION NUMBER: 0001140361-16-051952
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151231
FILED AS OF DATE: 20160212
DATE AS OF CHANGE: 20160212
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: 1231
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: 161415772
MAIL ADDRESS:
STREET 1: 3656 TUXEDO ROAD NW
CITY: ATLANTA
STATE: GA
ZIP: 30305
5
1
doc1.xml
FORM 5
X0306
5
2015-12-31
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
16025
D
Common Stock
38000
I
Custodian For Children
Common Stock
3953256
I
Trust Beneficiary
Common Stock
2175
I
By IRA Account
Common Stock
705676
I
By Spouse
Common Stock
168200
I
Trust F/B/O Children
Common Stock
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 213,722 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. 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
2016-02-12