0000899243-17-003527.txt : 20170210 0000899243-17-003527.hdr.sgml : 20170210 20170210165926 ACCESSION NUMBER: 0000899243-17-003527 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170210 DATE AS OF CHANGE: 20170210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN NATIONAL INSURANCE CO /TX/ CENTRAL INDEX KEY: 0000904163 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 740484030 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE MOODY PLAZA, 14TH FL STREET 2: SEC UNIT - 8TH FLOOR CITY: GALVESTON STATE: TX ZIP: 77550 BUSINESS PHONE: 409-766-6480 MAIL ADDRESS: STREET 1: ONE MOODY PLZ CITY: GALVESTON STATE: TX ZIP: 77550 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stelling James P CENTRAL INDEX KEY: 0001673846 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34280 FILM NUMBER: 17594390 MAIL ADDRESS: STREET 1: ONE MOODY PLAZA CITY: GALVESTON STATE: TX ZIP: 77550 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2016-12-31 0 0 1 0000904163 AMERICAN NATIONAL INSURANCE CO /TX/ ANAT 0001673846 Stelling James P ONE MOODY PLAZA GALVESTON TX 77550 0 1 0 0 See Remarks Common Stock 2016-12-09 4 M 0 200 116.48 A 103 D Common Stock 2016-12-09 4 D 0 200 131.17 D 103 D Stock Appreciation Right 116.48 2016-12-09 4 M 0 200 0.00 D 2009-05-01 2018-05-01 Common Stock 200 0 D The transaction reported herein reflects the exercise of stock appreciation rights for cash based on the spread between (i) the average of the high and low prices of the issuer's common stock on the date of exercise and (ii) the exercise price reported above. SARs become exercisable in five equal annual installments beginning on the date shown. SARs expire five years from the date they become exercisable. The date shown represents the expiration date of the final installment of SARs to become exercisable. SVP, Health Insurance Operations /s/ James P. Stelling, by J. Mark Flippin as attorney-in-fact 2017-02-10