0000904454-23-000438.txt : 20230721 0000904454-23-000438.hdr.sgml : 20230721 20230721142701 ACCESSION NUMBER: 0000904454-23-000438 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230719 FILED AS OF DATE: 20230721 DATE AS OF CHANGE: 20230721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SRB CORP CENTRAL INDEX KEY: 0001496228 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50070 FILM NUMBER: 231102218 BUSINESS ADDRESS: STREET 1: 695 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02111 BUSINESS PHONE: 617-457-7527 MAIL ADDRESS: STREET 1: 695 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02111 FORMER NAME: FORMER CONFORMED NAME: SRB Corp DATE OF NAME CHANGE: 20100709 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Plymouth Rock Co Inc CENTRAL INDEX KEY: 0001556246 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50070 FILM NUMBER: 231102217 BUSINESS ADDRESS: STREET 1: 695 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02111 BUSINESS PHONE: 617-951-1026 MAIL ADDRESS: STREET 1: 695 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SAFETY INSURANCE GROUP INC CENTRAL INDEX KEY: 0001172052 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 134181699 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 617-951-0600 MAIL ADDRESS: STREET 1: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 FORMER COMPANY: FORMER CONFORMED NAME: SAFETY HOLDINGS INC DATE OF NAME CHANGE: 20020424 4 1 ownership.xml X0508 4 2023-07-19 0 0001172052 SAFETY INSURANCE GROUP INC SAFT 0001496228 SRB CORP 695 ATLANTIC AVENUE BOSTON MA 02111 0 0 1 0 0001556246 Plymouth Rock Co Inc 695 ATLANTIC AVENUE BOSTON MA 02111 0 0 1 0 0 Common Stock 2023-07-19 4 P 0 32384 67.2432 A 1842284 I See This Form 4 is being jointly filed by SRB Corporation, a Massachusetts corporation ("SRB"), and The Plymouth Rock Company Incorporated, a Massachusetts corporation ("PRC"), and each shall be deemed a Reporting Person. SRB is a direct, wholly-owned subsidiary of PRC and acts as investment manager to PRC and, in such capacity, may be deemed to have voting and dispositive power over the shares of Common Stock reported on this Form 4. SRB disclaims beneficial ownership of the shares of Common Stock reported on this Form 4, and this report shall not be deemed an admission that SRB is a beneficial owner of such shares for purposes of Section 16 or for any other purpose. (Continued in Footnote 2) The Reporting Persons are making this single joint filing because they may be deemed a "group" within the meaning of Section 13(d)(3) of the Securities Act of 1934, as amended. This joint filing shall not, however, be deemed an affirmation that a group exists among the Reporting Persons for the purposes of the Securities Exchange Act of 1934 or for any other purpose and each Reporting Person expressly disclaims beneficial ownership of any securities beneficially owned by any other person. PRC holds 14,320 of the shares of Common Stock reported on this Form 4. The following subsidiaries of PRC hold in the aggregate 801,213 shares of the Common Stock reported on this Form 4: Plymouth Rock Security Corporation, a Massachusetts security corporation ("PRSC"); Plymouth Rock Assurance Corporation, a Massachusetts corporation ("PRAC"); Plymouth Rock Assurance Preferred Corporation, a New York corporation ("PRAPC"); Plymouth Rock Assurance Corporation of New York, a New York corporation ("PRACNY"); Pilgrim Insurance Company, a Massachusetts corporation ("Pilgrim"); Plymouth Rock Home Assurance Corporation, a Massachusetts corporation ("PRHAC"); Bunker Hill Insurance Casualty Company, a Massachusetts corporation ("BHICC"); Bunker Hill Preferred Insurance Company, a Massachusetts corporation ("BHPREFIC"); Bunker Hill Property Insurance Company, a Massachusetts corporation ("BHPIC"); (Continued in Footnote 4) and Bunker Hill Insurance Company, a Massachusetts corporation ("BHIC"). PRSC, PRAC, and PRHAC are direct wholly-owned subsidiaries of PRC. PRAPC and PRACNY are direct wholly-owned subsidiaries of PRAC. Pilgrim is a direct wholly-owned subsidiary of SRB. BHICC, BHPREFIC, BHPIC, and BHIC are direct wholly-owned subsidiaries of PRHAC. Palisades Safety and Insurance Association, a New Jersey reciprocal insurance exchange ("PSIA"), is managed by a subsidiary of PRC. PSIA and the following subsidiaries of PSIA hold in the aggregate 1,026,751 shares of the Common Stock reported on this Form 4: High Point Safety and Insurance Company, a New Jersey corporation ("HPSIC"); High Point Property and Casualty Insurance Company, a New Jersey corporation ("HPPCIC"); High Point Preferred Insurance Company, a New Jersey corporation ("HPPIC"); Palisades Insurance Company, a New Jersey corporation ("PICNJ"); (Continued in Footnote 5) Twin Lights Insurance Company, a New Jersey corporation ("TLIC"); and Teachers Auto Insurance Company of New Jersey, a New Jersey corporation ("TAIC"). HPSIC, HPPIC, TLIC, and TAIC are direct wholly-owned subsidiaries of HPPCIC, which is a direct wholly-owned subsidiary of PSIA, as is PICNJ. PRC disclaims beneficial ownership of the shares of Common Stock reported on this Form 4 except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that PRC is a beneficial owner of such shares for purposes of Section 16 or for any other purpose. /s/ Frederick C. Childs 2023-07-21