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PTVCA Protective Insurance Corporation

23.27
0.00 (0.00%)
Last Updated: 01:00:00
Delayed by 15 minutes
Share Name Share Symbol Market Type
Protective Insurance Corporation NASDAQ:PTVCA NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 23.27 0.01 23.31 0 01:00:00

Statement of Changes in Beneficial Ownership (4)

27/05/2021 6:07pm

Edgar (US Regulatory)


FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

SHAPIRO NATHAN
2. Issuer Name and Ticker or Trading Symbol

Protective Insurance Corp [ PTVCA/B ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__X__ Director                    __X__ 10% Owner
_____ Officer (give title below)    _____ Other (specify below)
(Last)          (First)          (Middle)

111 CONGRESSIONAL BLVD, STE 500
3. Date of Earliest Transaction (MM/DD/YYYY)

5/25/2021
(Street)

CARMEL, IN 46032
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock         217921 I Various (1)
Class A Common Stock         423951 I Various (2)
Class B Common Stock         4222 D  
Class B Common Stock         468750 I Various (1)
Class B Common Stock 5/25/2021  G  V 6055 D (3)803997 I Various (2)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares

Explanation of Responses:
(1) Owned by NS (Florida) Associates Inc. (173,062 shares of Class A and 453,750 shares of Class B), and New Horizon (Florida) Enterprises Inc. (44,859 shares of Class A and 15,000 shares of Class B).
(2) Owned by the Shapiro Family Investment Partnership - Nathan Share (128,410 shares of Class A and 462,640 shares of Class B), the Nathan Shapiro Revocable Trust dated 10/7/1987 (274,166 shares of Class A and 255,857 shares of Class B), and Illinois Diversified Company, LLC (21,375 shares of Class A and 85,500 shares of Class B). Beneficial ownership is shared by the undersigned and other family members for all shares owned by these entities.
(3) No price was entered as the transaction is a bona fide gift and is exempt under Section 16(b).

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
SHAPIRO NATHAN
111 CONGRESSIONAL BLVD
STE 500
CARMEL, IN 46032
XX


Signatures
John R. Barnett on behalf of Nathan Shapiro5/27/2021
**Signature of Reporting PersonDate

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