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