0001140361-12-002660.txt : 20120117
0001140361-12-002660.hdr.sgml : 20120116
20120117141719
ACCESSION NUMBER: 0001140361-12-002660
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120113
FILED AS OF DATE: 20120117
DATE AS OF CHANGE: 20120117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PITTMAN DONALD S
CENTRAL INDEX KEY: 0001239497
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18649
FILM NUMBER: 12529244
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
4
1
doc1.xml
FORM 4
X0304
4
2012-01-13
0
0000865058
NATIONAL SECURITY GROUP INC
NSEC
0001239497
PITTMAN DONALD S
227 SYLVAN DRIVE
ENTERPRISE
AL
36330
1
0
0
0
Common Stock
2012-01-13
2012-01-13
4
J
0
586
0.00
D
586
I
UGTMA from grandparent to minor child.
Disclaiming beneficial ownership of shares upon daughter reaching age of majority.
Brian R. McLeod, Attorney-in-fact
2012-01-17