0001140361-12-028007.txt : 20120531
0001140361-12-028007.hdr.sgml : 20120531
20120531152906
ACCESSION NUMBER: 0001140361-12-028007
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120511
FILED AS OF DATE: 20120531
DATE AS OF CHANGE: 20120531
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: 12880443
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
X0305
4
2012-05-11
0
0000865058
NATIONAL SECURITY GROUP INC
NSEC
0001239497
PITTMAN DONALD S
227 SYLVAN DRIVE
ENTERPRISE
AL
36330
1
0
0
0
Common Stock
2012-05-11
2012-05-11
4
J
0
586
0.00
D
0
I
UGTMA From Grandparent to minor children
Common Stock
11048
D
Common Stock
30000
I
Co-Trustee JE Pittman Family Trust 12/31/92 Disclaims Beneficial Interest other than 6,000 shares.
Disclaiming beneficial ownership of shares upon daughter reaching age of majority.
Brian R. McLeod, Attorney-in-fact
2012-05-31