0000009346-18-000094.txt : 20181115
0000009346-18-000094.hdr.sgml : 20181115
20181115172905
ACCESSION NUMBER: 0000009346-18-000094
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181113
FILED AS OF DATE: 20181115
DATE AS OF CHANGE: 20181115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NICHOLS JOHN DRAKE
CENTRAL INDEX KEY: 0001256130
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-05534
FILM NUMBER: 181188119
MAIL ADDRESS:
STREET 1: C/O AXIS CAPITAL HOLDINGS LIMITED
STREET 2: 92 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM 08
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Protective Insurance Corp
CENTRAL INDEX KEY: 0000009346
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 350160330
STATE OF INCORPORATION: IN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 111 CONGRESSIONAL BLVD
STREET 2: STE 500
CITY: CARMEL
STATE: IN
ZIP: 46032
BUSINESS PHONE: 317-452-7426
MAIL ADDRESS:
STREET 1: 111 CONGRESSIONAL BLVD
STREET 2: STE 500
CITY: CARMEL
STATE: IN
ZIP: 46032
FORMER COMPANY:
FORMER CONFORMED NAME: BALDWIN & LYONS INC
DATE OF NAME CHANGE: 19930908
FORMER COMPANY:
FORMER CONFORMED NAME: BALDWIN H C AGENCY INC
DATE OF NAME CHANGE: 19720309
4
1
form4.xml
X0306
4
2018-11-13
0000009346
Protective Insurance Corp
PTVCA/B
0001256130
NICHOLS JOHN DRAKE
111 CONGRESSIONAL BLVD.
CARMEL
IN
46032
true
true
Interim CEO
Class B Common Stock
2018-11-13
4
A
0
85000
22.27
A
109088
D
Shares will vest ratably over the next three years - 42,500 shares will vest on October 17, 2019; 21,500 shares will vest on October 17, 2020; 21,500 shares will vest on October 17, 2021.
William Vens on behalf of John Drake Nichols
2018-11-15