0001179110-11-015639.txt : 20111128 0001179110-11-015639.hdr.sgml : 20111128 20111128113537 ACCESSION NUMBER: 0001179110-11-015639 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111125 FILED AS OF DATE: 20111128 DATE AS OF CHANGE: 20111128 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: 111227450 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 - X0304 4 2011-11-25 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 2011-11-25 4 P 0 2000 39.16 A 14000 D /s/Frederic H. Lindeberg 2011-11-28