0001777934-20-000006.txt : 20200708 0001777934-20-000006.hdr.sgml : 20200708 20200708162821 ACCESSION NUMBER: 0001777934-20-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200706 FILED AS OF DATE: 20200708 DATE AS OF CHANGE: 20200708 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Edgecliffe-Johnson Jeremy David CENTRAL INDEX KEY: 0001777934 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 201018644 MAIL ADDRESS: STREET 1: 111 CONGRESSIONAL BLVD STREET 2: STE 500 CITY: CARMEL STATE: IN ZIP: 46032 FORMER NAME: FORMER CONFORMED NAME: Johnson Jeremy David DATE OF NAME CHANGE: 20190528 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Protective Insurance Corp CENTRAL INDEX KEY: 0000009346 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 350160330 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 CONGRESSIONAL BLVD STREET 2: STE 500 CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 317-452-7426 MAIL ADDRESS: STREET 1: 111 CONGRESSIONAL BLVD STREET 2: STE 500 CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: BALDWIN & LYONS INC DATE OF NAME CHANGE: 19930908 FORMER COMPANY: FORMER CONFORMED NAME: BALDWIN H C AGENCY INC DATE OF NAME CHANGE: 19720309 4 1 form4.xml X0306 4 2020-07-06 0000009346 Protective Insurance Corp PTVCA/B 0001777934 Edgecliffe-Johnson Jeremy David 111 CONGRESSIONAL BLVD STE 500 CARMEL IN 46032 true true Chief Executive Officer Class B Common Stock 2020-07-06 4 A 0 40000 14.63 A 163842 D Shares will vest July 1, 2023. John R. Barnett on behalf of Jeremy David Edgecliffe-Johnson 2020-07-08