X0304 4 2011-11-30 1 0001453820 PENN MILLERS HOLDING CORP PMIC 0001474708 Michelstein Kim E 72 N FRANKLIN ST WILKES BARRE PA 18773 1 0 0 0 COMMON STOCK 2011-11-30 4 D 0 10000 20.50 D 0 D OPTIONS TO PURCHASE COMMON STOCK 14.83 2011-11-30 4 D 0 1500 5.67 D 2017-05-12 COMMON STOCK 1500 0 D OPTIONS TO PURCHASE COMMON STOCK 17.50 2011-11-30 4 D 0 1500 3.00 D 2018-05-11 COMMON STOCK 1500 0 D Shares of Issuer common stock were canceled and converted pursuant to the Agreement and Plan of Merger dated September 7, 2011 (the "Merger Agreement"), by and among the Issuer, ACE American Insurance Company and Panther Acquisition Corp. ("Merger Sub"), providing for the merger of Merger Sub with and into the Issuer (the "Merger"), into the right to receive $20.50 in cash per share (the "Merger Consideration"). All unvested options vested in full at the effective time of the Merger and were then canceled and converted into the right to receive a cash payment equal to the excess of (a) the Merger Consideration over (b) the exercise price payable with respect to such share of common stock subject to such options. Sharon Monie by Power of Attorney 2011-12-01