<SEC-DOCUMENT>0001567619-20-003535-index.html : 20200214 <SEC-HEADER>0001567619-20-003535.hdr.sgml : 20200214 <ACCEPTANCE-DATETIME>20200214095133 ACCESSION NUMBER: 0001567619-20-003535 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200214 DATE AS OF CHANGE: 20200214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK FRED JR CENTRAL INDEX KEY: 0001239490 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18649 FILM NUMBER: 20614843 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 </SEC-HEADER> <DOCUMENT> <TYPE>5 <SEQUENCE>1 <FILENAME>doc1.xml <DESCRIPTION>FORM 5 <TEXT> Document 1 - file: doc1.html
Document 1 - RAW XML: doc1.xml
</DOCUMENT> </SEC-DOCUMENT>