0001301106-16-000215.txt : 20161114
0001301106-16-000215.hdr.sgml : 20161111
20161114184213
ACCESSION NUMBER: 0001301106-16-000215
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161110
FILED AS OF DATE: 20161114
DATE AS OF CHANGE: 20161114
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: National Interstate CORP
CENTRAL INDEX KEY: 0001301106
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 341607394
STATE OF INCORPORATION: OH
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3250 INTERSTATE DRIVE
CITY: RICHFIELD
STATE: OH
ZIP: 44286
BUSINESS PHONE: (330) 659-8900
MAIL ADDRESS:
STREET 1: 3250 INTERSTATE DRIVE
CITY: RICHFIELD
STATE: OH
ZIP: 44286
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Michelson David W
CENTRAL INDEX KEY: 0001306400
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51130
FILM NUMBER: 161997224
MAIL ADDRESS:
STREET 1: 3250 INTERSTATE DRIVE
CITY: RICHFIELD
STATE: OH
ZIP: 44286
4
1
wf-form4_147916691552483.xml
FORM 4
X0306
4
2016-11-10
1
0001301106
National Interstate CORP
NATL
0001306400
Michelson David W
3250 INTERSTATE DRIVE
RICHFIELD
OH
44286
1
0
0
0
Common Shares ($0.01 par value)
2016-11-10
4
D
0
12000
32
D
0
D
Common Shares ($.01 par value)
2016-11-10
4
D
0
195542
32
D
0
D
Represents Restricted Shares. Disposed of pursuant to the Agreement and Plan of Merger, dated as of July 25, 2016, by and among Great American Insurance Company, GAIC Alloy, Inc., and National Interstate Corporation (the "Company"), as amended by Amendment No. 1, dated as of August 15, 2016 (the "Agreement and Plan of Merger"). Pursuant to the Agreement and Plan of Merger, effective as of November 10, 2016, these shares, whether vested or unvested, were automatically cancelled and converted into the the right to receive $32.00 per share in cash, less any required withholding taxes. In addition, the Company declared a special cash dividend of $0.50 per common share payable to shareholders of record immediately prior to the effective time of the merger.
Disposed of pursuant to the Agreement and Plan of Merger, effective as of November 10, 2016, the Company's common shares were automatically cancelled and converted into the right to receive $32 per share in cash. In addition, the Company declared a special dividend of $0.50 per common share payable to shareholders of record immediately prior to the effective time of the merger.
/s/ David W. Michelson
2016-11-14