SEC Form 3
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*
WALSH TIMOTHY A

(Last) (First) (Middle)
ONE MOODY PLAZA

(Street)
GALVESTON TX 77550

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/12/2014
3. Issuer Name and Ticker or Trading Symbol
AMERICAN NATIONAL INSURANCE CO /TX/ [ ANAT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks.
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 1,335 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Restricted Stock Units 03/01/2015(1) 03/01/2015(1) Common Stock 287 (2) D
Restricted Stock Units 03/01/2015(3) 03/01/2016(3) Common Stock 756 (2) D
Restricted Stock Units 03/01/2015(4) 03/01/2017(4) Common Stock 2,248 (2) D
Stock Appreciation Rights 05/01/2015(5) 05/01/2018(6) Common Stock 2,400 $116.48 D
Explanation of Responses:
1. These restricted stock units represent the remaining portion of a grant of 862 restricted stock units that began vesting in three substantially equal annual installments on March 1, 2013. Vesting may occur earlier upon the reporting person's retirement, death or disability.
2. Each restricted stock unit represents a contingent right to receive, upon vesting, one share of the issuer's common stock or, at the election of the reporting person, cash in an amount equal to the closing price of such stock on the date of vesting.
3. These restricted stock units represent the remaining portion of a grant of 1,134 restricted stock units that began vesting in three substantially equal annual installments on March 1, 2014. Vesting may occur earlier upon the reporting person's retirement, death or disability.
4. These restricted stock units vest in three substantially equal annual installments, beginning on March 1, 2015, or upon the reporting person's earlier retirement, death or disability.
5. These stock appreciation rights represent the remaining portion of a grant of 3,000 stock appreciation rights that began vesting in five equal annual installments on May 1, 2009.
6. Stock appreciation rights expire five years from the date they vest and become exercisable. The date shown represents the expiration date of the final installment of stock appreciation rights to become exercisable.
Remarks:
Reporting Person is the President and CEO of the following subsidiaries of the Issuer: Farm Family Life Insurance Company, Farm Family Casualty Insurance Company, and United Farm Family Insurance Company. Pursuant to a determination by the Issuer's Board of Directors on December 12, 2014, the Reporting Person is considered an officer of the Issuer for purposes of Section 16.
Timothy A. Walsh 12/12/2014
** 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.
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