0000009346-19-000069.txt : 20190528
0000009346-19-000069.hdr.sgml : 20190528
20190528154853
ACCESSION NUMBER: 0000009346-19-000069
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190522
FILED AS OF DATE: 20190528
DATE AS OF CHANGE: 20190528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Johnson Jeremy David
CENTRAL INDEX KEY: 0001777934
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-05534
FILM NUMBER: 19857536
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
2019-05-22
0000009346
Protective Insurance Corp
PTVCA/B
0001777934
Johnson Jeremy David
111 CONGRESSIONAL BLVD
STE 500
CARMEL
IN
46032
true
true
Chief Executive Officer
Class B Common Stock
2019-05-22
4
A
0
70000
16.21
A
70000
D
Shares will vest ratably over a three year period beginning in 2022 - 35,000 shares will vest on June 1, 2022; 21,000 shares will vest on June 1, 2023; 14,000 shares will vest on June 1, 2024.
William Vens on behalf of Jeremy David Johnson
2019-05-28