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