5//SEC Filing
ROBINSON J MACK 5
Accession 0001140361-13-006493
CIK 0000008177other
Filed
Feb 12, 7:00 PM ET
Accepted
Feb 13, 5:22 PM ET
Size
12.3 KB
Accession
0001140361-13-006493
Insider Transaction Report
Form 5
ROBINSON J MACK
DirectorChairman10% Owner
Transactions
- Gift
Common Stock
2012-12-28−378,450→ 544,585 total - Gift
Common Stock
2012-12-28+378,450→ 9,082,794 total(indirect: By Spouse)
Holdings
- 70,000(indirect: By Delta Life Insurance Company)
Series D Preferred Stock
→ Common Stock (1,754,385 underlying) - 300,000(indirect: By Delta Fire & Casualty Insurance Company)
Common Stock
- 1,363,809(indirect: By Delta Life Insurance Company)
Common Stock
- 3,756,746(indirect: By Gulf Capital Services)
Common Stock
Footnotes (5)
- [F1]Shares owned by an entity controlled by Mr. Robinson. Mr. Robinson disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
- [F2]Shares owned by an entity in which Mr. Robinson holds a 24% interest. The remaining interests are held in equal amounts by trusts for the benefit of Mr. Robinson's two daughters, with Mr. Robinson's spouse as trustee. Mr. Robinson disclaims beneficial ownership of the remainder of the Company's Common Stock, representing the trusts' proportionate interests, held by Gulf Capital Services.
- [F3]Mr. Robinson has an indirect ownership interest in 9,082,794 shares of the Company's Common Stock owned directly or indirectly by his spouse, Harriett J. Robinson, as follows: 655,576 shares owned directly by her; 6,720 shares directly owned jointly by her with a grandson; 3,953,256 shares owned by a trust for the benefit of their daughter, Robin R. Howell, of which his spouse is trustee; 4,088,792 shares owned by a trust for the benefit of their daughter, Jill Robinson, of which his spouse is trustee; and 378,450 shares owned by a trust for the benefit of their grandchildren, of which his spouse is trustee. Mr. Robinson disclaims beneficial ownership of the shares owned directly or indirectly by his spouse.
- [F4]The Series D Preferred Stock is convertible into common stock at a per share price of $3.99, subject to certain anti-dilution provisions, provided that in no case may the conversion price be less than $2.59 per share without the prior approval of the Company's shareholders. Such shares are owned by Delta Life Insurance Company, an entity in which Mr. Robinson maintains a controlling interest.
- [F5]The Series D Preferred Stock was convertible into common stock upon issuance and has no expiration date.
Documents
Issuer
ATLANTIC AMERICAN CORP
CIK 0000008177
Entity typeother
Related Parties
1- filerCIK 0001008889
Filing Metadata
- Form type
- 5
- Filed
- Feb 12, 7:00 PM ET
- Accepted
- Feb 13, 5:22 PM ET
- Size
- 12.3 KB