0001140361-17-046187.txt : 20171214 0001140361-17-046187.hdr.sgml : 20171214 20171214125800 ACCESSION NUMBER: 0001140361-17-046187 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171212 FILED AS OF DATE: 20171214 DATE AS OF CHANGE: 20171214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUNSON WILLIAM L JR CENTRAL INDEX KEY: 0001239470 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 171255701 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 2017-12-12 0 0000865058 NATIONAL SECURITY GROUP INC NSEC 0001239470 BRUNSON WILLIAM L JR 661 EAST DAVIS ELBA AL 36323 0 1 0 0 President/CEO Common Stock 2017-12-12 5 G 0 500 D 10869 D Common Stock 57713 I By Jerry B. Brunson Marital Trust/Jerry B. Brunson Family Trust Common Stock 3913.25 I By ESOP Common Stock 4087 I By 401-K Plan Common Stock 366445 I By Brunson Properties, a General Partnership Shares were disposed of by bona fide gift. William L. Brunson, Jr. is co-trustee of the Jerry B. Brunson Marital and Jerry B. Brunson Family Trusts. The Reporting Person disclaims beneficial ownership associated with these shares. William L. Brunson, Jr. is Managing Partner of Brunson Properties. Brian R. McLeod, Attorney-in-fact 2017-12-14