0000009346-21-000012.txt : 20210309
0000009346-21-000012.hdr.sgml : 20210309
20210309155344
ACCESSION NUMBER: 0000009346-21-000012
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210306
FILED AS OF DATE: 20210309
DATE AS OF CHANGE: 20210309
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Omidfar Bahram D.
CENTRAL INDEX KEY: 0001806178
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-05534
FILM NUMBER: 21725673
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
2021-03-06
0000009346
Protective Insurance Corp
PTVCA / B
0001806178
Omidfar Bahram D.
111 CONGRESSIONAL BLVD
STE 500
CARMEL
IN
46032
true
Chief Information Officer
Class B Common Stock
2021-03-06
4
F
0
14
22.9
D
26707
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 Bahram D. Omidfar
2021-03-09