0000009346-21-000075.txt : 20210603
0000009346-21-000075.hdr.sgml : 20210603
20210603172406
ACCESSION NUMBER: 0000009346-21-000075
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210601
FILED AS OF DATE: 20210603
DATE AS OF CHANGE: 20210603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAPIRO ROBERT
CENTRAL INDEX KEY: 0001017635
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-05534
FILM NUMBER: 21993641
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
2021-06-01
true
0000009346
Protective Insurance Corp
PTVCA/B
0001017635
SHAPIRO ROBERT
111 CONGRESSIONAL BLVD
STE 500
CARMEL
IN
46032
true
Class A Common Stock
2021-06-01
4
D
0
116559
23.3
D
0
D
Class A Common Stock
2021-06-01
4
D
0
119903
23.3
D
0
I
Various
Class A Common Stock
2021-06-01
4
D
0
125146
23.3
D
0
I
Various
Class B Common Stock
2021-06-01
4
D
0
90771
23.3
D
0
D
Class B Common Stock
2021-06-01
4
D
0
118524
23.3
D
0
I
Various
Class B Common Stock
2021-06-01
4
D
0
449584
23.3
D
0
I
Various
Pursuant to the Agreement and Plan of Merger, dated as of February 14, 2021 (the "Merger Agreement"), by and among Protective Insurance Corporation (the "Company"), The Progressive Corporation ("Progressive") and Carnation Merger Sub Inc., a wholly-owned indirect subsidiary of Progressive ("Merger Sub"), at the effective time (the "Effective Time") of the merger of Merger Sub with and into the Company, which Effective Time occurred on June 1, 2021, each outstanding share of the Company's Class A Common Stock and Class B Common Stock (other than certain excluded shares and the outstanding time-based restricted stock awards granted under the Company's equity incentive plan) was cancelled and automatically converted into the right to receive an amount in cash equal to $23.30, without interest and less any applicable withholding taxes.
Owned by the Robert & Gwendolyn Shapiro Family LLC (116,019 shares of Class A and 118,524 shares of Class B) and Emlin Cosmetics, Inc. (3,884 shares of Class A).
Owned by the Shapiro Family Investment Partnership - Robert Shapiro (125,146 shares of Class A and 449,584 shares of Class B). Beneficial ownership is shared by the undersigned and other family members for all shares owned by this entity.
John R. Barnett on behalf of Robert Shapiro
2021-06-03