0001140361-16-053226.txt : 20160216 0001140361-16-053226.hdr.sgml : 20160215 20160216161140 ACCESSION NUMBER: 0001140361-16-053226 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160216 DATE AS OF CHANGE: 20160216 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: 161428247 MAIL ADDRESS: STREET 1: 661 EAST DAVIS CITY: ELBA STATE: AL ZIP: 36323 5 1 doc1.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001239470 BRUNSON WILLIAM L JR 661 EAST DAVIS ELBA AL 36323 1 1 0 0 President/CEO Common Stock 2015-12-18 5 G 0 200 A 6819 D Common Stock 2016-02-16 5 J 0 1000 D 57713 I By Jerry B. Brunson Marital Trust/Jerry B. Brunson Family Trust Common Stock 2316.41 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. Brian R. McLeod, Attorney-in-fact 2016-02-16