0001179110-13-005642.txt : 20130322
0001179110-13-005642.hdr.sgml : 20130322
20130322162245
ACCESSION NUMBER: 0001179110-13-005642
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130318
FILED AS OF DATE: 20130322
DATE AS OF CHANGE: 20130322
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: 13711623
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 -
X0306
4
2013-03-18
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
2013-03-18
4
M
0
2000
21.40
A
22000
D
Non-Qualified Stock Options (right to buy)
21.40
2013-03-18
4
M
0
2000
0
D
2008-08-30
2014-08-30
Common Stock
2000
0
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 8,000 of the options.
/s/Frederic H. Lindeberg
2013-03-22