0000009346-19-000046.txt : 20190509
0000009346-19-000046.hdr.sgml : 20190509
20190509191058
ACCESSION NUMBER: 0000009346-19-000046
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190507
FILED AS OF DATE: 20190509
DATE AS OF CHANGE: 20190509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAPIRO NATHAN
CENTRAL INDEX KEY: 0001017636
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-05534
FILM NUMBER: 19812352
MAIL ADDRESS:
STREET 1: 111 CONGRESSIONAL BLVD
STREET 2: STE 500
CITY: CARMEL
STATE: IN
ZIP: 46032
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
2019-05-07
0000009346
Protective Insurance Corp
PTVCA/B
0001017636
SHAPIRO NATHAN
111 CONGRESSIONAL BLVD
STE 500
CARMEL
IN
46032
true
true
Class A Common Stock
146645
D
Class A Common Stock
239296
I
Various
Class A Common Stock
751125
I
Various
Class B Common Stock
609125
I
Various
Class B Common Stock
1799375
I
Various
Class B Common Stock
2019-05-07
4
A
0
3692
A
109324
D
Right to sell (put)
1981-12-31
Class B Common
187500
187500
D
Right to sell (put)
1981-12-31
Class A Common
46875
46875
D
Owned by (a) New Horizons, Inc., (44,859 shares of Class A and 26,000 shares of class B) of which the undersigned is controlling stockholder; (b) Illinois Diversified, (21,375 shares of Class A and 85,500 shares of Class B) a general partnership as to which beneficial ownership is held by the undersigned; and (c) NS Associates, Inc., (173,062 shares of Class A and 497,625 shares of Class B) of which the undersigned is the controlling shareholder.
Owned by (a) Gelbart Fur Dressers (not Inc.), (178,500 shares of Class A and 714,000 shares of Class B) and Jay Ell Company (not Inc.), (41,250 shares of Class A and 165,000 shares of Class B) limited partnerships; (b) Diversified Enterprises (not Inc.), (178,125 shares of Class A and 559,500 shares of Class B) a general partnership; and (c) Shapiro Family L.P. - Gift Share (353,250 shares of Class A and 360,875 shares of Class B); Beneficial ownership is shared by the undersigned and other family members for all shares owned by these entities.
Shares represent restricted stock granted in lieu of certain cash director's fees. Restricted stock vests and is distributable on May 7, 2020.
All puts are exercisable at any time at 90% of the Company's most recently published quarterly book value prior to the date of exercise. These rights have no expiration date.
William Vens on behalf of Nathan Shapiro
2019-05-09