0001567619-21-017235.txt : 20210917
0001567619-21-017235.hdr.sgml : 20210917
20210917160109
ACCESSION NUMBER: 0001567619-21-017235
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210904
FILED AS OF DATE: 20210917
DATE AS OF CHANGE: 20210917
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Franklin Jeffrey Ross
CENTRAL INDEX KEY: 0001713860
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03722
FILM NUMBER: 211260345
MAIL ADDRESS:
STREET 1: 4370 PEACHTREE ROAD NE
CITY: ATLANTA
STATE: GA
ZIP: 30319
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ATLANTIC AMERICAN CORP
CENTRAL INDEX KEY: 0000008177
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 581027114
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4370 PEACHTREE RD NE
CITY: ATLANTA
STATE: GA
ZIP: 30319
BUSINESS PHONE: 4042665500
MAIL ADDRESS:
STREET 1: 4370 PEACHTREE ROAD
CITY: ATLANTA
STATE: GA
ZIP: 30319
4
1
doc1.xml
FORM 4
X0306
4
2021-09-04
0
0000008177
ATLANTIC AMERICAN CORP
AAME
0001713860
Franklin Jeffrey Ross
4370 PEACHTREE ROAD, N.E.
ATLANTA
GA
30319
0
1
0
0
VP, CFO & Secretary
Common Stock
2021-09-04
4
F
0
3500
3.99
D
38350
D
Common Stock
2056
I
By 401(k) Plan
Represents the number of shares of common stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the reporting person's net share settlement upon the vesting of 10,000 shares of restricted stock and does not represent a sale by the reporting person.
Based on most recent plan statement. Shares held by the 401(k) plan were previously aggregated with the shares directly held by the reporting person. Shares held by the 401(k) plan are now being reported separately as indirectly held by the reporting person.
/s/ J. Ross Franklin
2021-09-17