0000899243-17-022022.txt : 20170913 0000899243-17-022022.hdr.sgml : 20170913 20170913182919 ACCESSION NUMBER: 0000899243-17-022022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170913 FILED AS OF DATE: 20170913 DATE AS OF CHANGE: 20170913 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dummer Arthur Oleen CENTRAL INDEX KEY: 0001467691 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34280 FILM NUMBER: 171084086 MAIL ADDRESS: STREET 1: ONE MOODY PLAZA CITY: GALVESTON STATE: TX ZIP: 77550 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-09-13 0 0000904163 AMERICAN NATIONAL INSURANCE CO /TX/ ANAT 0001467691 Dummer Arthur Oleen ONE MOODY PLAZA GALVESTON TX 77550 1 0 0 0 Common Stock 2017-09-13 4 J 0 100 D 0 I By children's trust This transaction represents a distribution of shares from the Leslea Dummer Children's Trust, of which the reporting person is the sole trustee, to a beneficiary. The reporting person disclaims beneficial ownership of the securities held by such trust, except to the extent of his pecuniary interest, if any, therein. Arthur O. Dummer, by J. Mark Flippin as Attorney-in-Fact 2017-09-13