0001567619-19-011750.txt : 20190521
0001567619-19-011750.hdr.sgml : 20190521
20190521145150
ACCESSION NUMBER: 0001567619-19-011750
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190520
FILED AS OF DATE: 20190521
DATE AS OF CHANGE: 20190521
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: 19841972
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
2019-05-20
0
0000865058
NATIONAL SECURITY GROUP INC
NSEC
0001239490
CLARK FRED JR
2100 FLOWERS ROAD
MATHEWS
AL
36052
1
0
0
0
Common Stock
2019-05-20
5
G
0
2500
12.00
D
72792
D
Common Stock
2019-05-20
5
G
0
2500
12.00
D
70292
D
Commons Stock
2019-05-20
5
G
0
2500
12.00
A
16118
I
By Minor Children
Common Stock
2019-05-20
5
G
0
2500
12.00
A
18618
I
By Minor Children
Brian R. McLeod, Attorney-in-fact
2019-05-21