0001140361-17-002839.txt : 20170125 0001140361-17-002839.hdr.sgml : 20170125 20170125153713 ACCESSION NUMBER: 0001140361-17-002839 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: 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: THOMPSON SCOTT G CENTRAL INDEX KEY: 0001198953 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03722 FILM NUMBER: 17546353 5 1 doc1.xml FORM 5 X0306 5 2016-12-31 0 0 0 0000008177 ATLANTIC AMERICAN CORP AAME 0001198953 THOMPSON SCOTT G 4370 PEACHTREE ROAD, N.E. ATLANTA GA 30319 1 1 0 0 Pres & CEO Am. Sou. Ins. Co. Common Stock 115954 D Represents correction of holdings included on most recently filed report, which inadvertently reported grant of 10,000 shares of restricted stock. Scott G. Thompson 2017-01-25