-----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, M0WTf+r/4/0dga5cSsEPhGbXy/Z8dmHOjHmvNLGdKKSc3oTJK/7WIGU4eRGVo8ZX S0oSS3AtAnGrOu55guNsJQ== 0001140361-11-009345.txt : 20110214 0001140361-11-009345.hdr.sgml : 20110214 20110214192134 ACCESSION NUMBER: 0001140361-11-009345 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101231 FILED AS OF DATE: 20110214 DATE AS OF CHANGE: 20110214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUNSON JACK E CENTRAL INDEX KEY: 0001239480 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 11611043 MAIL ADDRESS: STREET 1: 661 EAST DAVIS CITY: ELBA STATE: AL ZIP: 36323 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 5 1 doc1.xml FORM 5 X0303 5 2010-12-31 0 0 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001239480 BRUNSON JACK E 135 RAINBOW DRIVE ELBA AL 36323 0 1 0 0 President of Subsidiary Common Stock 2010-12-31 2010-12-31 5 J 0 L 6251 0.00 D 5669 D Common Stock 2010-12-31 2010-12-31 5 J 0 L 1832 0.00 D 1832 I UAUTMA to minor Common Stock 2010-02-17 2010-02-17 5 W 0 L 21623 0.00 A 27292 D Common Stock 2010-02-17 2010-02-17 5 W 0 L 4326 0.00 A 4326 I Inherited IRA of Minor Child Common Stock 2010-02-17 2010-02-17 5 W 0 L 90907 0.00 A 90907 I Edna A Brunson, Jack E. Brunson, Executor To correct reporting of shares owned by adult children, to properly report indirect ownership of shares of minor child, to report direct ownership of shares previously held in name of mother distributed upon death and report indirect beneficial ownership interest in shares held in estate. Brian R. McLeod, Attorney-in-fact 2011-02-14 -----END PRIVACY-ENHANCED MESSAGE-----