0001140361-15-007547.txt : 20150218 0001140361-15-007547.hdr.sgml : 20150216 20150217170744 ACCESSION NUMBER: 0001140361-15-007547 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150217 DATE AS OF CHANGE: 20150217 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 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: 15624160 MAIL ADDRESS: STREET 1: 661 EAST DAVIS CITY: ELBA STATE: AL ZIP: 36323 5 1 doc1.xml FORM 5 X0306 5 2014-12-31 0 0 0 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 2014-12-22 5 G 0 200 A 7119 D Common Stock 2015-02-17 5 J 0 827 D 64713 I By Jerry B. Brunson Marital Trust/Jerry B. Brunson Family Trust Common Stock 2015-02-17 5 J 0 1000 D 0 I By children in household Common Stock 1651.46 I By ESOP Common Stock 4087 I By 401-K Plan Common Stock 366445 I By Brunson Properties, a general partnership Shares were acquired as bona fide gift 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 2/17/2015. Disclaiming beneficial ownership of shares upon children in household reaching age of majority. Between January 1, 2014 and March 31, 2014, the reporting person acquired 941.2606 shares of NSEC common stock under the National Security ESOP. The information in this report is based on a plan statement dated as of February 28, 2014. Brian R. McLeod, Attorney-in-fact 2015-02-17