Filing Details

Accession Number:
0001567619-23-001134
Form Type:
4
Zero Holdings:
No
Publication Time:
2023-01-23 16:18:50
Reporting Period:
2022-12-30
Accepted Time:
2023-01-23 16:18:50
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
8177 Atlantic American Corp AAME Life Insurance (6311) 581027114
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1196567 J Harriett Robinson 4370 Peachtree Road, N.e.
Atlanta GA 30319
No No Yes Yes
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2022-12-30 300,000 $3.00 1,130,259 No 4 P Direct
Common Stock Disposition 2022-12-30 300,000 $3.00 0 No 4 S Indirect By Delta Fire & Casualty Insurance Company
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 S Indirect By Delta Fire & Casualty Insurance Company
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 5,120,555 Indirect By Gulf Capital Services
Common Stock 3,954,281 Indirect As Trustee
Common Stock 4,092,767 Indirect As Trustee
Common Stock 408,765 Indirect As Trustee
Common Stock 510,956 Indirect As Trustee
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Series D Preferred Stock $0.00 1,378,446 55,000 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
1,378,446 55,000 Indirect
Footnotes
  1. Represents change in nature of Reporting Person's ownership as a result of the transfer of shares by private sale to Harriett J. Robinson from her affiliate Delta Fire & Casualty Insurance Company.
  2. Shares owned by Gulf Capital Services, an entity in which interests are held in equal amounts by trusts for the benefit of Mrs. Robinson's two daughters, and of which Mrs. Robinson serves as trustee. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein, if any.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. The Series D Preferred Stock is not currently convertible into common stock .