0001140361-17-034088.txt : 20170901 0001140361-17-034088.hdr.sgml : 20170901 20170901114922 ACCESSION NUMBER: 0001140361-17-034088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170830 FILED AS OF DATE: 20170901 DATE AS OF CHANGE: 20170901 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: 171065436 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 2017-08-30 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001239490 CLARK FRED JR 2100 FLOWERS ROAD MATHEWS AL 36052 1 0 0 0 Common Stock 2017-08-30 4 P 0 100 14.46 A 31694 D Common Stock 2017-08-30 4 P 0 196 14.47 A 31890 D Common Stock 2017-08-30 4 P 0 100 14.46 A 31990 D Common Stock 2017-08-30 4 P 0 504 14.48 A 32494 D Common Stock 2017-08-30 4 P 0 100 14.48 A 32594 D Common Stock 2017-08-30 4 P 0 3080 14.95 A 35674 D Common Stock 2017-08-30 4 P 0 44 14.83 A 35718 D Common Stock 2017-08-30 4 P 0 1195 14.90 A 36913 D Common Stock 2017-08-30 4 P 0 200 14.87 A 37113 D Common Stock 2017-08-30 4 P 0 100 14.88 A 37213 D Common Stock 2017-08-30 4 P 0 200 14.85 A 37413 D Common Stock 2017-08-30 4 P 0 100 14.89 A 37513 D Common Stock 2017-08-30 4 P 0 402 14.48 A 37915 D Common Stock 2017-08-30 4 P 0 300 14.47 A 38215 D Common Stock 2017-08-30 4 P 0 200 14.44 A 38415 D Common Stock 2017-08-30 4 P 0 179 14.25 A 38594 D Common Stock 49077 I By Clark's Investment Group, Ltd. Common Stock 11752 I By Minor Children Brian R. McLeod, Attorney-in-fact 2017-09-01