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