FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ZENITH NATIONAL INSURANCE CORP [ ZNT ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 07/27/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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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) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 | ||||||
Common Stock, $1.00 Par Value | 07/27/2004 | S(1)(2) | 2,966,449 | D | $41.15 | 0 | I | Held by TIG Insurance Company | ||
Common Stock, $1.00 Par Value | 07/27/2004 | S(1)(2) | 66,776 | D | $41.15 | 1,083,224 | I | Held by Clearwater Insurance Company | ||
Common Stock, $1.00 Par Value | 07/27/2004 | S(1)(2) | 46,775 | D | $41.15 | 3,240,447 | I | Held by United States Fire Insurance Company | ||
Common Stock, $1.00 Par Value | 07/27/2004 | S(1)(2) | 20,000 | D | $41.15 | 0 | I | Held by The North River Insurance Company | ||
Common Stock, $1.00 Par Value | 74,300 | I | Held by Odyssey America Reinsurance Corporation | |||||||
Common Stock, $1.00 Par Value | 323,574 | I | Held by CRC (Bermuda) Reinsurance Limited |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: 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 |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Pursuant to an underwriting agreement (the "Underwriting Agreement"), dated as of July 27, 2004, among TIG Insurance Company, Clearwater Insurance Company, United States Fire Insurance Company, The North River Insurance Company (collectively, the "Selling Stockholders"), Zenith National Insurance Corp., and the underwriters (the "Underwriters") named therein, the Selling Stockholders have agreed to sell an aggregate of 3,100,000 shares of common stock, par value $1.00 per share ("Common Stock"), of Zenith to the Underwriters, in connection with a registered public offering. The closing of the sale of such shares is expected to occur on or about July 30, 2004, and is subject to customary conditions. |
2. . In addition, pursuant to the Underwriting Agreement, each of Clearwater Insurance Company and United States Fire Insurance Company have granted an option to the Underwriters to purchase up to an additional 200,000 shares of Common Stock of Zenith (up to 400,000 shares in the aggregate) to cover over-allotments, if any. |
/s/ Donald L. Smith (Senior Vice President, General Counsel and Corporate Secretary) | 07/29/2004 | |
/s/ Donald L. Smith (Senior Vice President) | 07/29/2004 | |
/s/ Donald L. Smith (Vice President) | 07/29/2004 | |
/s/ Mary Jane Robertson (Senior Executive Vice President, Chief Financial Officer and Treasurer) | 07/29/2004 | |
/s/Mary Jane Robertson (Senior Executive Vice President and Treasurer) | 07/29/2004 | |
/s/ Mary Jane Robertson (Senior Executive Vice President, Chief Financial Officer and Treasurer) | 07/29/2004 | |
/s/ Mary Jane Robertson (Senior Executive Vice President, Chief Financial Officer and Treasurer) | 07/29/2004 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |