0000009346-19-000057.txt : 20190522
0000009346-19-000057.hdr.sgml : 20190522
20190522164924
ACCESSION NUMBER: 0000009346-19-000057
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190521
FILED AS OF DATE: 20190522
DATE AS OF CHANGE: 20190522
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: 19846479
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
2019-05-21
0000009346
Protective Insurance Corp
PTVCA/B
0001256130
NICHOLS JOHN DRAKE
111 CONGRESSIONAL BLVD.
CARMEL
IN
46032
true
Class B Common Stock
2019-05-21
4
A
0
6135
A
125223
D
Class B Common Stock
2019-05-22
4
A
0
3541
A
128764
D
Shares represent restricted stock granted in recognition of Director Nichols' performance as Interim CEO. Restricted stock vests immediately on date of grant and is distributable on May 21, 2019.
Shares represent a pro-rated amount of restricted stock granted in lieu of certain cash director's fees. Restricted stock vests and is distributable on May 7, 2020.
William Vens on behalf of John Drake Nichols
2019-05-22