-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, V4kkbwdDqMrlbjTJWA+6ddBbsRWUvxHW4sSi5LGNaKT4QkgYusF4Q7uerUqPrlAI ojyn/54/JDBBgk58jpwz5g== 0001179110-06-021712.txt : 20061114 0001179110-06-021712.hdr.sgml : 20061114 20061114171600 ACCESSION NUMBER: 0001179110-06-021712 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061110 FILED AS OF DATE: 20061114 DATE AS OF CHANGE: 20061114 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lindeberg Frederic H CENTRAL INDEX KEY: 0001302433 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50070 FILM NUMBER: 061216735 BUSINESS ADDRESS: BUSINESS PHONE: 617-951-0600 MAIL ADDRESS: STREET 1: C/O SAFETY INSURANCE GROUP, INC. STREET 2: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 4 1 edgar.xml FORM 4 - X0202 4 2006-11-10 0 0001172052 SAFETY INSURANCE GROUP INC SAFT 0001302433 Lindeberg Frederic H C/O SAFETY INSURANCE GROUP, INC. 20 CUSTOM HOUSE STREET BOSTON MA 02110 1 0 0 0 Common Stock 2006-11-10 2006-11-10 4 M 0 4000 21.40 A 9287 D Common Stock 2006-11-10 2006-11-10 4 S 0 4000 52.2268 D 5287 D Non-Qualified Stock Options (right to buy) 21.40 2006-11-10 2006-11-10 4 M 0 4000 0 D 2006-08-30 2014-08-30 Common Stock 4000 6000 D The reporting person was granted options to purchase 10,000 shares of common stock on August 30, 2004. These options vest in five equal 20% annual installments beginning on August 30, 2005. None of the options were previously exercised by the reporting person. /s/Frederic H. Lindeberg 2006-11-14 -----END PRIVACY-ENHANCED MESSAGE-----