-----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, WoHovDCAeEGZYYLCS15+hTBdoLIujPlpDLWLTzd+NR49bLkhQYuTpu2tpW2Y3dA5 8QZpVE1YU8ajelVVzTiZHg== 0000865058-07-000011.txt : 20070214 0000865058-07-000011.hdr.sgml : 20070214 20070214184207 ACCESSION NUMBER: 0000865058-07-000011 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061231 FILED AS OF DATE: 20070214 DATE AS OF CHANGE: 20070214 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 07624433 BUSINESS ADDRESS: STREET 1: 661 EAST DAVIS CITY: ELBA STATE: AL ZIP: 36323 BUSINESS PHONE: 3348972273 5 1 dmartin_ex.xml X0202 5 2006-12-31 0 0 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001250128 MARTIN J DOUGLAS JR 0 0 0 1 Former Officer Common Stock 1586 I By 401-K 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 and rounded to the nearest unit. Until 2005, owners of 401-K unit shares could not vote their units. Pertains to phantom stock plan in which election to defer fees is not a reportable event under Section 16, however acquisitions of phantom stock pursuant to the election are reportable. These deferrals are exempt transactions for purposes of Section 16b-3(d). Brian R. McLeod, Attorney-in-fact 2007-02-14 -----END PRIVACY-ENHANCED MESSAGE-----