0000899243-17-011646.txt : 20170503
0000899243-17-011646.hdr.sgml : 20170503
20170503165617
ACCESSION NUMBER: 0000899243-17-011646
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170501
FILED AS OF DATE: 20170503
DATE AS OF CHANGE: 20170503
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMERICAN NATIONAL INSURANCE CO /TX/
CENTRAL INDEX KEY: 0000904163
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 740484030
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE MOODY PLAZA, 14TH FL
STREET 2: SEC UNIT - 8TH FLOOR
CITY: GALVESTON
STATE: TX
ZIP: 77550
BUSINESS PHONE: 409-766-6480
MAIL ADDRESS:
STREET 1: ONE MOODY PLZ
CITY: GALVESTON
STATE: TX
ZIP: 77550
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Payne James Parker
CENTRAL INDEX KEY: 0001464758
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34280
FILM NUMBER: 17809977
MAIL ADDRESS:
STREET 1: 850 EAST ANDERSON LANE
CITY: AUSTIN
STATE: TX
ZIP: 78752
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-01
0
0000904163
AMERICAN NATIONAL INSURANCE CO /TX/
ANAT
0001464758
Payne James Parker
ONE MOODY PLAZA
GALVESTON
TX
77550
1
0
0
0
Common Stock
2017-05-02
4
M
0
750
0.00
A
1062
D
Common Stock
2017-05-02
4
F
0
187.5
118.17
D
874.5
D
Common Stock
2017-05-02
4
D
0
187.5
118.17
D
687
D
Restricted Stock Units
2017-05-02
4
M
0
750
0.00
D
2017-05-02
2017-05-02
Common Stock
750
0
D
Restricted Stock Units
2017-05-01
4
A
0
750
0.00
A
2018-05-01
2018-05-01
Common Stock
750
750
D
This transaction represents the settlement of vested restricted stock units in shares of common stock.
Shares withheld at the election of Reporting Person to satisfy applicable tax obligations.
The remaining shares were settled two-thirds in stock and one-third in cash based on the closing price of Issuer's common stock on May 2, 2017. For reporting purposes, such cash settlement is treated as a simultaneous acquisition and disposition of the underlying common stock.
Each restricted stock unit represents a contingent right to receive, upon vesting, one share of Issuer's common stock or, at the election of the reporting person, cash in an amount equal to the closing price of such stock on the date of vesting.
These restricted stock units vested on May 2, 2017.
These restricted stock units vest on May 1, 2018, or upon the reporting person's earlier retirement, death or disability.
James P. Payne, by J. Mark Flippin as Attorney-in-Fact
2017-05-03