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