0001017633-12-000001.txt : 20120509 0001017633-12-000001.hdr.sgml : 20120509 20120509152109 ACCESSION NUMBER: 0001017633-12-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120508 FILED AS OF DATE: 20120509 DATE AS OF CHANGE: 20120509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATRICK THOMAS H CENTRAL INDEX KEY: 0001017633 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 12825409 MAIL ADDRESS: STREET 1: C/O BALDWIN & LYONS INC STREET 2: 1099 NORTH MERIDIAN STREET CITY: INDIANAPOLIS STATE: IN ZIP: 46204 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BALDWIN & LYONS INC 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: 1099 N MERIDIAN ST STREET 2: STE 700 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3176369800 MAIL ADDRESS: STREET 1: 1099 NORTH MERIDIAN ST STREET 2: STE 700 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 FORMER COMPANY: FORMER CONFORMED NAME: BALDWIN H C AGENCY INC DATE OF NAME CHANGE: 19720309 4 1 edgar.xml PRIMARY DOCUMENT X0305 4 2012-05-08 0000009346 BALDWIN & LYONS INC BWINA / B 0001017633 PATRICK THOMAS H 199 EAST LAKE SHORE DRIVE - 7E CHICAGO IL 60611 1 0 0 0 Class A Common 52500 D Class A Common 36375 I Owned by wife of reporting person Class B Common 2012-05-08 4 A 0 1829 A 17330 D Class B Common 236862 I Owned by a private foundation Reporting person disclaims beneficial ownership of these shares. Shares owned by the foundation were donated by the Reporting Person and his wife, as noted on line items above. Reporting Person is an officer and director of the foundation but has no pecuniary interest in the operations of the foundation and disclaims beneficial ownership of these shares. Shares represent restricted stock granted in lieu of certain cash director's fees. Restrict stock vests and is distributable on May 8, 2013. Thomas H. Patrick by G. Patrick Corydon under power of attorney 2012-05-09