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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (right to buy) | $ 20.4 (1) | 02/18/2011 | A | 3,000 | (2) | 02/18/2021 | Common Stock | 3,000 | $ 0 | 3,000 | D | ||||
Stock Option (right to buy) | $ 22.46 (1) | (3) | 05/19/2020 | Common Stock | 3,000 | 3,000 | D | ||||||||
Stock Option (right to buy) | $ 33.78 (1) | (4) | 05/21/2018 | Common Stock | 3,000 | 3,000 | D | ||||||||
Stock Option (right to buy) | $ 29.28 (1) | (5) | 11/16/2017 | Common Stock | 2,000 | 2,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HULTQUIST DOUGLAS M 118 SECOND AVENUE SE P.O. BOX 73909 CEDAR RAPIDS, IA 52407-3909 |
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/s/ Douglas M. Hultquist by Dianne M. Lyons, Attorney-in-Fact | 02/22/2011 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Under the terms of the 2005 United Fire & Casualty Company Nonqualified Nonemployee Stock Option and Restricted Stock Plan, the option exercise price for these stock options is calculated as the average of the high and low trading price of the issuer's common stock on the grant date. |
(2) | 3,000 options become exercisable in five equal installments of 600 option shares each on 02/18/2012, 02/18/2013, 02/18/2014, 02/18/2015 and 02/18/2016. |
(3) | 3,000 options become exercisable in five equal installments of 600 option shares each on 05/19/2011, 05/19/2012, 05/19/2013, 05/19/2014 and 05/19/2015. |
(4) | 1,200 options currently exercisable and 1,800 options become exercisable in three equal installments of 600 options each on 05/21/2011, 05/21/2012 and 05/21/2013. |
(5) | 1,200 options currently exercisable and 800 options become exercisable in two equal installments of 400 options each on 11/16/2011 and 11/16/2012. |