0001140361-13-007363.txt : 20130214
0001140361-13-007363.hdr.sgml : 20130214
20130214162003
ACCESSION NUMBER: 0001140361-13-007363
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121231
FILED AS OF DATE: 20130214
DATE AS OF CHANGE: 20130214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BRUNSON WILLIAM L JR
CENTRAL INDEX KEY: 0001239470
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18649
FILM NUMBER: 13614199
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
X0306
5
2012-12-31
0
0
1
0000865058
NATIONAL SECURITY GROUP INC
NSEC
0001239470
BRUNSON WILLIAM L JR
661 EAST DAVIS
ELBA
AL
36323
0
1
0
0
President/CEO
Common Stock
1999-07-29
4
J
0
L
220
A
6519
D
Common Stock
2013-02-14
4
J
0
L
5950
D
67540
I
By Jerry B. Brunson Marital Trust/Jerry B. Brunson Family Trust
Common Stock
1000
I
By children in household
Common Stock
4087
I
By 401-K Plan
Common Stock
366445
I
By Brunson Properties, a general partnership
In a review of beneficial ownership reported, the Reporting Person discovered that prior filings had understated the aggregate holdings by 220 shares. Records of the Reporting Person have been reviewed in an attempt to determine the source(s) of the discrepancy. The exact transaction(s) resulting in the source of the 220 share discrepancy has not been identified. However, the current discrepancy begins with transaction reported on this Form 5. Amount of securities beneficially owned on the Form 5 accurately reflect current holdings.
The Reporting Person was made aware of dispositions of stock held in the Jerry B. Brunson Marital and Jerry B. Brunson Family Trusts. The Reporting Person disclaims beneficial ownership associated with these shares. The shares reported on this Form 5 accurately reflect the current number of shares held in the Trusts as of 2/14/2013.
Brian R. McLeod, Attorney-in-fact
2013-02-14