0000865058-22-000063.txt : 20220701 0000865058-22-000063.hdr.sgml : 20220701 20220701120457 ACCESSION NUMBER: 0000865058-22-000063 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20220701 DATE AS OF CHANGE: 20220701 EFFECTIVENESS DATE: 20220701 FILER: 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 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 221060354 BUSINESS ADDRESS: STREET 1: 661 E DAVIS ST CITY: ELBA STATE: AL ZIP: 36323 BUSINESS PHONE: 2058972273 15-12G 1 form15.htm 15-12G Document

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 15

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER
SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION
OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934.

Commission File Number 000-18649

 THE NATIONAL SECURITY GROUP, INC.
(Exact name of registrant as specified in its charter)
661 East Davis Street
Elba, Alabama 36323
(334) 897-2273
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
Common Stock, $1.00 par value per share
(Title of each class of securities covered by this Form)
None
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

Rule 12g-4(a)(1)x
Rule 12g-4(a)(2) ☐
Rule 12h-3(b)(1)(i)x
Rule 12h-3(b)(1)(ii)☐
Rule 15d-6☐
Rule 15-22(b)☐

Approximate number of holders of record as of the certification or notice date:

Common Stock – 1

Pursuant to the requirements of the Securities Exchange Act of 1934, The National Security Group, Inc. has caused this certification/notice to be signed on their behalf by the undersigned duly authorized person.

Date: July 1, 2022By: /s/ Brian R. McLeod
Brian R. McLeod
Chief Financial Officer