0001179110-12-008262.txt : 20120511 0001179110-12-008262.hdr.sgml : 20120511 20120511162649 ACCESSION NUMBER: 0001179110-12-008262 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120509 FILED AS OF DATE: 20120511 DATE AS OF CHANGE: 20120511 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: 12834917 MAIL ADDRESS: STREET 1: C/O SAFETY INSURANCE GROUP, INC. STREET 2: 20 CUSTOM HOUSE STREET CITY: BOSTON STATE: MA ZIP: 02110 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 edgar.xml FORM 4 - X0305 4 2012-05-09 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 2012-05-09 4 M 0 1000 21.40 A 18000 D Non-Qualified Stock Options (right to buy) 21.40 2012-05-09 4 M 0 1000 0 D 2008-08-30 2014-08-30 Common Stock 1000 3000 D The reporting person was granted options to purchase 10,000 shares of common stock on August 30, 2004. These options vested in five equal 20% annual installments beginning on August 30, 2005. The reporting person previously exercised 6,000 of the options. /s/Frederic H. Lindeberg 2012-05-11