0000009346-19-000103.txt : 20191112 0000009346-19-000103.hdr.sgml : 20191112 20191112165120 ACCESSION NUMBER: 0000009346-19-000103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191017 FILED AS OF DATE: 20191112 DATE AS OF CHANGE: 20191112 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: 191210414 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 2019-10-17 0000009346 Protective Insurance Corp PTVCA / B 0001256130 NICHOLS JOHN DRAKE 111 CONGRESSIONAL BLVD. CARMEL IN 46032 true Class B Common Stock 2019-10-17 4 F 0 19696 16.37 D 109068 D Represents shares withheld by the Company to satisfy tax withholding obligations in connection with the vesting of restricted awards granted to the reporting person. John R. Barnett on behalf of John Drake Nichols 2019-11-12