SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 11/11/2015 | 3. Issuer Name and Ticker or Trading Symbol Verisk Analytics, Inc. [ VRSK ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 12,308(1) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option(2) | (3) | 12/14/2022 | Common Stock | 4,847 | 48.84 | D | |
Stock Option(2) | (4) | 04/01/2023 | Common Stock | 14,178 | 61.14 | D | |
Stock Option(5) | (6) | 04/01/2024 | Common Stock | 23,150 | 59.74 | D | |
Stock Option(5) | (7) | 04/01/2025 | Common Stock | 23,328 | 71.53 | D |
Explanation of Responses: |
1. This amount includes 9,825 restricted shares of Common Stock that were granted under the Issuer's 2009 Equity Incentive Plan and 2013 Equity Incentive Plan. Subject to the terms of the Issuer's 2009 Equity Incentive Plan and 2013 Equity Incentive Plan and the applicable award agreements thereunder, these restricted shares vest in four equal installments on the first,second, third and fourth anniversaries of their grant date. |
2. Stock Options outstanding under the Issuer's 2009 Equity Incentive Plan. |
3. 3,635 shares of Common Stock underlying the Stock Option are immediately exercisable. The remaining 1,212 shares underlying the Stock Option will be exercisable on 12/31/2015. |
4. 7,089 shares of Common Stock underlying the Stock Option are immediately exercisable. The remaining 7,089 shares underlying the Stock Option will become exercisable as follows: 3,544 shares on 4/1/2016 and 3,545 shares on 4/1/2017. |
5. Stock Options outstanding under the Issuer's 2013 Equity Incentive Plan. |
6. 5,787 shares of Common Stock underlying the Stock Option are immediately exercisable. The remaining 17,363 shares underlying the Stock Option will become exercisable as follows: 5,788 shares on 4/1/2016, 5,787 shares on 4/1/2017 and 5,788 shares on 4/1/2018. |
7. 23,328 shares of Common Stock underlying the Stock Option will become exercisable as follows: 5,832 shares on 4/1/2016, 5,832 shares on 4/1/2017, 5,832 shares on 4/1/2018 and 5,832 shares on 4/1/2019. |
Remarks: |
/s/ Kenneth E. Thompson, Attorney-in-Fact | 11/19/2015 | |
** 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 5 (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 Number. |