Initial Statement of Beneficial Ownership (3)
October 09 2019 - 5:27PM
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
OMB Number:
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
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OBERST STEPHEN J |
2. Date of Event Requiring Statement (MM/DD/YYYY)
10/1/2019
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3. Issuer Name and Ticker or Trading Symbol
OLD REPUBLIC INTERNATIONAL CORP [ORI]
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(Last)
(First)
(Middle)
307 NORTH MICHIGAN AVENUE, SUITE 2300 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Executive Vice President / |
(Street)
CHICAGO, IL 60601
(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 | 2257 | D | |
Common Stock | 15858 | I | By ESSOP |
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 |
2011 Employee Stock Option | 12/31/2011 (1) | 3/23/2021 | Common Stock | 10710.0 | $12.33 | D | |
2012 Employee Stock Option | 12/31/2012 (1) | 3/20/2022 | Common Stock | 14000.0 | $10.8 | D | |
2013 Employee Stock Option | 12/31/2013 (1) | 3/20/2023 | Common Stock | 11000.0 | $12.57 | D | |
2014 Employee Stock Option | 12/31/2014 (1) | 3/19/2024 | Common Stock | 12000.0 | $16.06 | D | |
2015 Employee Stock Option | 12/31/2015 (1) | 3/19/2025 | Common Stock | 14500.0 | $15.26 | D | |
2016 Employee Stock Option | 12/31/2016 (1) | 3/23/2026 | Common Stock | 16000.0 | $18.14 | D | |
2017 Employee Stock Option | 12/31/2017 (1) | 3/22/2027 | Common Stock | 21000.0 | $19.98 | D | |
2018 Employee Stock Option | 12/31/2018 (1) | 2/20/2028 | Common Stock | 24000.0 | $20.98 | D | |
2019 Employee Stock Option | 12/31/2019 (1) | 3/19/2029 | Common Stock | 28000.0 | $21.12 | D | |
2019 Employee Stock Option(a) | 12/31/2019 (1) | 8/20/2029 | Common Stock | 15000.0 | $21.99 | D | |
Explanation of Responses: |
(1) | These shares vest and become exercisable each December 31 at the rate of 10% the first year, 15% the second year, 20% the third year, 25% the fourth year and 30% the fifth year. Also, vesting shall accelerate if the optionee dies, becomes disabled, retires or a change of control of the company occurs. For those optionees over age 65 and who have been employed for 10 years or more by the company on the date of the grant, 100% of the option shares vest immediately. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
OBERST STEPHEN J 307 NORTH MICHIGAN AVENUE SUITE 2300 CHICAGO, IL 60601 |
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| Executive Vice President |
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Signatures
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John R. Heitkamp, Power of Attorney for Stephen J. Oberst | | 10/9/2019 |
**Signature of Reporting Person | Date |
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