0000009346-19-000110.txt : 20191119 0000009346-19-000110.hdr.sgml : 20191119 20191119093714 ACCESSION NUMBER: 0000009346-19-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191118 FILED AS OF DATE: 20191119 DATE AS OF CHANGE: 20191119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Edgecliffe-Johnson Jeremy David CENTRAL INDEX KEY: 0001777934 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 191229163 MAIL ADDRESS: STREET 1: 111 CONGRESSIONAL BLVD STREET 2: STE 500 CITY: CARMEL STATE: IN ZIP: 46032 FORMER NAME: FORMER CONFORMED NAME: Johnson Jeremy David DATE OF NAME CHANGE: 20190528 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 2019-11-18 0000009346 Protective Insurance Corp PTVCA/B 0001777934 Edgecliffe-Johnson Jeremy David 111 CONGRESSIONAL BLVD STE 500 CARMEL IN 46032 true true Chief Executive Officer Class B Common Stock 2019-11-18 4 P 0 3104 16.1 A 84951 D John R. Barnett on behalf of Jeremy D. Edgecliffe-Johnson 2019-11-19