0001140361-17-033655.txt : 20170830 0001140361-17-033655.hdr.sgml : 20170830 20170830121758 ACCESSION NUMBER: 0001140361-17-033655 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170828 FILED AS OF DATE: 20170830 DATE AS OF CHANGE: 20170830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK FRED JR CENTRAL INDEX KEY: 0001239490 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 171059873 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 X0306 4 2017-08-28 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001239490 CLARK FRED JR 2100 FLOWERS ROAD MATHEWS AL 36052 1 0 0 0 Common Stock 2017-08-28 4 P 0 100 13.51 A 28694 D Common Stock 2017-08-28 4 P 0 100 13.52 A 28794 D Common Stock 2017-08-28 4 P 0 200 13.48 A 28994 D Common Stock 2017-08-28 4 P 0 100 13.49 A 29094 D Common Stock 2017-08-28 4 P 0 50 13.50 A 29144 D Common Stock 2017-08-28 4 P 0 400 13.51 A 29544 D Common Stock 2017-08-28 4 P 0 2050 13.53 A 31594 D Common Stock 49077 I By Clark's Investment Group, Ltd. Common Stock 11752 I By Minor Children Brian R. McLeod, Attorney-in-fact 2017-08-30