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