0001017636-17-000001.txt : 20170510 0001017636-17-000001.hdr.sgml : 20170510 20170510170900 ACCESSION NUMBER: 0001017636-17-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170509 FILED AS OF DATE: 20170510 DATE AS OF CHANGE: 20170510 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: 111 CONGRESSIONAL BLVD STREET 2: STE 500 CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 3176369800 MAIL ADDRESS: STREET 1: 111 CONGRESSIONAL BLVD STREET 2: STE 500 CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: BALDWIN H C AGENCY INC DATE OF NAME CHANGE: 19720309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAPIRO NATHAN CENTRAL INDEX KEY: 0001017636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 17831439 MAIL ADDRESS: STREET 1: C/O BALDWIN & LYONS INC STREET 2: 1099 NORTH MERIDIAN STREET CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-05-09 0000009346 BALDWIN & LYONS INC BWINA / B 0001017636 SHAPIRO NATHAN 107 VICTORY DRIVE JUPITER FL 33477 1 0 1 0 Class A Common Stock 146645 D Class A Common Stock 239296 I Various Class A Common Stock 755009 I Various Class B Common Stock 2017-05-09 4 A 0 1653 A 109397 D Class B Common Stock 610125 I Various Class B Common Stock 1799375 I Various Right to sell (put) 1981-12-31 Class B Common 187500 187500 D Right to sell (put) 1981-12-31 Class A Common 46875 46875 D Owned by (a) New Horizons, Inc., (44,859 shares of Class A and 29,000 shares of class B) of which the undersigned is controlling stockholder; (b) Illinois Diversified, (21,375 shares of Class A and 85,500 shares of Class B) a general partnership as to which beneficial ownership is held by the undersigned; and (c) NS Associates, Inc., (173,062 shares of Class A and 495,625 shares of Class B) of which the undersigned is the controlling shareholder. All puts are exercisable at any time at 90% of the Company's most recently published quarterly book value prior to the date of exercise. These rights have no expiration date. Owned by (a) Gelbart Fur Dressers (not Inc.), (178,500 shares of Class A and 714,000 shares of Class B) and Jay Ell Company (not Inc.), (41,250 shares of Class A and 165,000 shares of Class B) limited partnerships; (b) Diversified Enterprises (not Inc.), (178,125 shares of Class A and 559,500 shares of Class B) a general partnership; (c) Shapiro Family L.P. - Gift Share (353,250 shares of Class A and 360,875 shares of Class B); ) and (d) Emlin Cosmetics, Inc. (3,884 shares of Class A). Beneficial ownership is shared by the undersigned and other family members for all shares owned by these entities. Shares represent restricted stock granted in lieu of certain cash director's fees. Restricted stock vests and is distributable on May 9, 2018. Michael Edwards on behalf of Nathan Shapiro under power of attorney 2017-05-10