FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/30/2014 |
3. Issuer Name and Ticker or Trading Symbol
State National Companies, Inc. [ SNC ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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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 | 2,133,000 | I | By Trust(1) |
Common Stock | 100(2) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: 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 | ||||
Stock Options (right to purchase) | (3) | 06/25/2024 | Common Stock | 284,900 | $10 | D |
Explanation of Responses: |
1. These shares include (i) 220,884 shares held directly by the Lonnie K. Ledbetter III 2006 Grantor Trust, (ii) 441,768 shares held directly by the Kendall Kaye Ledbetter 2010 Grantor Exempt Trust, (iii) 220,884 shares held directly by the Lonnie K. Ledbetter III 2010 Grantor Exempt Trust, (iv) 601,334 shares held directly by the Terry Lee Ledbetter, Jr. 1999 Grantor Trust, and (v) 648,120 shares held directly by The Bradford Luke Ledbetter 1999 Grantor Trust. Lonnie K. Ledbetter III serves as sole trustee of the trusts and, accordingly, has sole voting and dispositive power over the shares of the issuer held by such trusts. Mr. Ledbetter serves as Executive Vice President of Service of the issuer. |
2. These shares are held directly by Lonnie K. Ledbetter III. |
3. These stock options are held directly by Lonnie K. Ledbetter III and vest in three equal annual installments beginning 06/25/2015. |
Remarks: |
Exhibit 24 - Power of Attorney |
/s/ Elise M. Simbro, Attorney-in-Fact for Lonnie K. Ledbetter III, individually and in his capacity as sole trustee of each of the trusts listed in Footnote 1 hereof. | 10/29/2014 | |
** 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 5 (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. |