Statement of Changes in Beneficial Ownership (4)
May 05 2020 - 2:40PM
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
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Moody Ross R |
2. Issuer Name and Ticker or Trading Symbol
AMERICAN NATIONAL INSURANCE CO
[
ANAT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
ONE MOODY PLAZA |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/1/2020 |
(Street)
GALVESTON, TX 77550
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock (1) | 5/1/2020 | | M | | 750 | A | $0.00 | 3540 | D | |
Common Stock (1) | 5/1/2020 | | D | | 750 | D | $77.54 | 2790 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. 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 Date | 7. 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) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | (2) | 5/1/2020 | | M | | | 750 | 5/1/2020 (3) | 5/1/2020 (3) | Common Stock | 750 | $0.00 | 0 | D | |
Explanation of Responses: |
(1) | This transaction represents the settlement of vested restricted stock units in cash based on the closing price of Issuer's common stock on May 1, 2020. For reporting purposes, such settlement is treated as a simultaneous acquisition and disposition of the underlying common stock. |
(2) | Each restricted stock unit represents a contingent right to receive, upon vesting, cash in an amount equal to the closing price of Issuer's common stock on the date of vesting. |
(3) | These restricted stock units vested on May 1, 2020. |
Remarks: Reporting Person is also one of three trustees of The Moody Foundation, which as of the date of this filing owns 6,116,316 shares of Issuer's common stock. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Moody Ross R ONE MOODY PLAZA GALVESTON, TX 77550 | X | X |
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Signatures
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Ross R. Moody, by J. Mark Flippin as Attorney-in-Fact | | 5/4/2020 |
**Signature of Reporting Person | Date |
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