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