UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
( ) Form 3 Holdings Reported
( ) Form 4 Transactions Reported
1. Name and Address of Reporting Person
Roman, Spencer M.
Harleysville Group Inc.
355 Maple Avenue
Harleysville, PA 19438
2. Issuer Name and Ticker or Trading Symbol
Harleysville Group Inc.
HGIC
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
12/31/97
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Senior Vice President
7. Individual or Joint/Group Reporting (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
|Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock |8/6/97|L |30 |A |$38.00 |60(1)(3) |I |By Stepson |
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Common Stock | | | | | |100(1)(4) |I |By Spouse |
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Common Stock | | | | | |3,909.6649(1)(2) |D | |
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Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity | | | Amount | |ble | | | |Year |(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
Explanation of Responses:
(1) Total reflects a 2 for 1 stock split on October 6,
1997.
(2) Total includes shares acquired through December 31, 1997 under the
Harleysville Group Inc. Dividend
Reinvestment Plan; and shares acquired July, 1997 under the Harleysville Group
Inc. Employee Stock Purchase
Plan.
(3) The reporting person disclaims beneficial ownership of these securities and
this report shall not be deemed an
admission that the reporting person is the beneficial owner of these shares for
the purpose of Section 16 or for
any other
purpose.
(4) These shares are held by Mr. Roman's spouse as custodian under the UGMA for
her minor son. Mr. Roman
disclaims beneficial ownership of these securities and this report shall not be
deemed an admission that Mr.
Roman is the beneficial owner of these shares for the purpose of Section 16 or
for any other purpose.
SIGNATURE OF REPORTING PERSON
/s/ Spencer M. Roman
DATE
2/11/98
