Statement of Changes in Beneficial Ownership (4)

Date : 08/22/2019 @ 6:53PM
Source : Edgar (US Regulatory)
Stock : Atlantic American Corporation (AAME)
Quote : 2.84  0.1 (3.65%) @ 9:00PM
Atlantic American share price Chart

Statement of Changes in Beneficial Ownership (4)

FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

ROBINSON HARRIETT J
2. Issuer Name and Ticker or Trading Symbol

ATLANTIC AMERICAN CORP [ AAME ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    __X__ 10% Owner
_____ Officer (give title below)    __X__ Other (specify below)
Trustee under Rule 16a-8
(Last)          (First)          (Middle)

4370 PEACHTREE ROAD, N.E.
3. Date of Earliest Transaction (MM/DD/YYYY)

8/20/2019
(Street)

ATLANTA, GA 30319
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock  8/21/2019    P    10000  A  (1) 943229  D   
Common Stock  8/20/2019    P    8837  A  (2) 933229  D   
Common Stock                 300000 (3) I  By Delta Fire & Casualty Insurance Company 
Common Stock                 1363809 (4) I  By Delta Life Insurance Company 
Common Stock                 3756746 (5) I  By Gulf Capital Services 
Common Stock                 378450 (6) I  As Trustee 
Common Stock                 428301 (7) I  As Trustee 
Common Stock                 3953256 (8) I  As Trustee 
Common Stock                 4088792 (9) I  As Trustee 

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series D Preferred Stock   (8)                  (9)  (9) Common Stock  1378446    55000  I  By Delta Life Insurance Company 

Explanation of Responses:
(1)  Shares were purchased in multiple open market transactions on August 21, 2019 at a weighted average price of $2.48 per share. The per share price in each transaction ranged from $2.45 to $2.53. The reporting person undertakes to provide to Atlantic American Corporation, any security holder of Atlantic American Corporation, or the staff of the SEC, upon request, full information regarding the number of shares purchased at each separate price within the range set forth above.
(2)  Shares were purchased in multiple open market transactions on August 20, 2019 at a weighted average purchase price of $2.40 per share. The per share price in each transaction ranged from $2.39 to $2.40. The reporting person undertakes to provide to Atlantic American Corporation, any security holder of Atlantic American Corporation, or the staff of the SEC, upon request, full information regarding the number of shares purchased at each separate price within the range set forth above.
(3)  Shares owned by an entity controlled by Mrs. Robinson. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
(4)  Mrs. Robinson has an indirect interest in the shares owned by Gulf Capital Services, an entity in which she holds a 24% interest, with the remaining interests being held in equal amounts by trusts for the benefit of her two daughters, and of which she serves as trustee. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein, if any.
(5)  Mrs. Robinson serves as trustee of a trust for the benefit of her grandchildren. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
(6)  Mrs. Robinson serves as trustee of a trust for the benefit of her daughter, Robin R. Howell. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
(7)  Mrs. Robinson serves as trustee of a trust for the benefit of her daughter, Jill Robinson. Mrs. Robinson disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
(8)  The Series D Preferred Stock is convertible into common stock at a per share price of $3.99, subject to certain anti-dilution provisions, provided that in no case may the conversion price be less than $2.59 per share without the prior approval of the Company's shareholders. Such shares are owned by Delta Life Insurance Company and Mrs. Robinson disclaims beneficial ownership of such shares.
(9)  The Series D Preferred Stock is not currently convertible into common stock .

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
ROBINSON HARRIETT J
4370 PEACHTREE ROAD, N.E.
ATLANTA, GA 30319

X
Trustee under Rule 16a-8

Signatures
Harriett J. Robinson 8/22/2019
**Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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