0001140361-18-007315.txt : 20180213
0001140361-18-007315.hdr.sgml : 20180213
20180213173541
ACCESSION NUMBER: 0001140361-18-007315
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180213
DATE AS OF CHANGE: 20180213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Arnold Charles B
CENTRAL INDEX KEY: 0001707603
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18649
FILM NUMBER: 18605319
MAIL ADDRESS:
STREET 1: 2161 MILL GARDEN RUN
CITY: BUFORD
STATE: GA
ZIP: 30519
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NATIONAL SECURITY GROUP INC
CENTRAL INDEX KEY: 0000865058
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 631020300
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 661 E DAVIS ST
CITY: ELBA
STATE: AL
ZIP: 36323
BUSINESS PHONE: 2058972273
5
1
doc1.xml
FORM 5
X0306
5
2017-12-31
0
0
0
0000865058
NATIONAL SECURITY GROUP INC
NSEC
0001707603
Arnold Charles B
2161 MILL GARDEN RUN
BUFORD
GA
30519
1
0
0
0
Common Stock
2017-11-27
5
G
0
1000
A
15600
D
Shares were received via bona fide gift.
Brian R. McLeod, Attorney-in-fact
2018-02-13