Initial Statement of Beneficial Ownership (3)
March 11 2020 - 02:31PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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
*
Whitford Christopher Thomas |
2. Date of Event Requiring Statement (MM/DD/YYYY)
3/2/2020
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3. Issuer Name and Ticker or Trading Symbol
SAFETY INSURANCE GROUP INC [SAFT]
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(Last)
(First)
(Middle)
20 CUSTOM HOUSE STREET |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) VP, CFO and Secretary / |
(Street)
BOSTON, MA 02110
(City)
(State)
(Zip)
| 5. 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
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 8238 (1) | 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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Includes a restricted stock award of 3,293 shares effective February 26, 2020, with respect to which sale or transfer rights for 1,492 of these shares shall vest with installments of 30% on February 26, 2021, 30% on February 26, 2022, and the remaining 40% on February 26, 2023, provided the grantee meets certain employment conditions. Sale or transfer rights for the remaining 1,801 shares will vest over a three-year performance period commencing on January 1, 2020 and ending on December 31, 2022. Vesting of these 1,801 shares is dependent upon the attainment of pre-established performance objectives, and any difference between shares granted and shares earned at the end of the performance period will be reported at the conclusion of the performance period in 2023. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Whitford Christopher Thomas 20 CUSTOM HOUSE STREET BOSTON, MA 02110 |
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| VP, CFO and Secretary |
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Signatures
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/s/Christopher T. Whitford | | 3/11/2020 |
**Signature of Reporting Person | Date |
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