-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ke1IoUc5DBa7SrXJNayTBUcDgOWT0jF2SPK/kgIYT+VJBYmao7sMVRtBvfUtqU2e On7d8D4zKWGtmRRpbQDtBQ== 0000865058-05-000032.txt : 20050613 0000865058-05-000032.hdr.sgml : 20050611 20050613144030 ACCESSION NUMBER: 0000865058-05-000032 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050613 FILED AS OF DATE: 20050613 DATE AS OF CHANGE: 20050613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL SECURITY GROUP INC CENTRAL INDEX KEY: 0000865058 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 631020300 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 661 E DAVIS ST CITY: ELBA STATE: AL ZIP: 36323 BUSINESS PHONE: 2058972273 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARTIN J DOUGLAS JR CENTRAL INDEX KEY: 0001250128 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 05892088 BUSINESS ADDRESS: STREET 1: 661 EAST DAVIS CITY: ELBA STATE: AL ZIP: 36323 BUSINESS PHONE: 3348972273 3/A 1 martinf3a_ex.xml X0202 3/A 2005-06-13 2005-01-31 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001250128 MARTIN J DOUGLAS JR 0 1 0 0 Vice President Common Stock 1586 I By 401-Plan Common Stock 228 I By Spouse Common Stock 4926 I By Spouse Common Stock 9424 D Shares held in 401-K plan are in units. Number of unit shares shown is as of 12/31/2004 are rounded to the nearest unit. Until 2005, shares held in the Company's 401-K plan could not be voted and could not be sold until separation from service. Shares held jointly were not reported in initial filing. /s/ Brian R. McLeod, Attorney-in-fact 2005-06-13 -----END PRIVACY-ENHANCED MESSAGE-----