0001140361-17-046038.txt : 20171213
0001140361-17-046038.hdr.sgml : 20171213
20171213161534
ACCESSION NUMBER: 0001140361-17-046038
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170828
FILED AS OF DATE: 20171213
DATE AS OF CHANGE: 20171213
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: 171254002
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
J
0
25000
D
24077
I
By Clark's Investment Group, Ltd.
Common Stock
2017-08-28
4
J
0
3250
A
49844
D
Common Stock
2017-08-28
4
J
0
125
A
49969
D
Common Stock
2017-11-09
4
J
0
24077
D
0
I
By Clark's Investment Group, Ltd.
Common Stock
2017-11-09
4
J
0
3130
A
53099
D
Common Stock
2017-11-09
4
J
0
120
A
53219
D
On August 28, 2017, the Clark Investments Group, LTD distributed 25,000 shares of NSEC stock to its partners.
On November 9, 2017, the Clark Investments Group, LTD distributed 24,077 shares of NSEC stock to its partners.
Brian R. McLeod, Attorney-in-fact
2017-12-13