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