5//SEC Filing
ROBINSON HARRIETT J 5
Accession 0001567619-21-003967
CIK 0000008177other
Filed
Feb 15, 7:00 PM ET
Accepted
Feb 16, 3:38 PM ET
Size
14.2 KB
Accession
0001567619-21-003967
Insider Transaction Report
Form 5
ROBINSON HARRIETT J
Director10% OwnerOther
Transactions
- Gift
Common Stock
2020-02-27+1,025→ 3,954,281 total(indirect: By Trust)
Holdings
- 943,229
Common Stock
- 300,000(indirect: By Delta Fire & Casualty Insurance Company)
Common Stock
- 3,756,746(indirect: By Gulf Capital Services)
Common Stock
- 55,000(indirect: By Delta Life Insurance Company)
Series D Preferred Stock
→ Common Stock (1,378,446 underlying) - 448,195(indirect: By Trust)
Common Stock
- 1,363,809(indirect: By Delta Life Insurance Company)
Common Stock
- 358,556(indirect: By Trust)
Common Stock
- 4,092,767(indirect: By Trust)
Common Stock
Footnotes (8)
- [F1]Shares owned by an entity controlled by Mrs. Robinson. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
- [F2]Mrs. Robinson has an indirect interest in the shares owned by Gulf Capital Services, an entity in which she holds a 24% interest, with the remaining interests being held in equal amounts by trusts for the benefit of her two daughters, and of which she serves as trustee. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein, if any.
- [F3]Mrs. Robinson serves as trustee of a trust for the benefit of her grandchildren. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
- [F4]Mrs. Robinson serves as trustee of a trust for the benefit of her grandchildren. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
- [F5]Mrs. Robinson serves as trustee of a trust for the benefit of her daughter, Robin R. Howell. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
- [F6]Mrs. Robinson serves as trustee of a trust for the benefit of her daughter, Jill Robinson. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
- [F7]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 and Mrs. Robinson disclaims beneficial ownership of such shares.
- [F8]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 0001196567
Filing Metadata
- Form type
- 5
- Filed
- Feb 15, 7:00 PM ET
- Accepted
- Feb 16, 3:38 PM ET
- Size
- 14.2 KB