SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
FOX EDWARD A

(Last) (First) (Middle)
C/O DELPHI CAPITAL MANAGEMENT, INC.
590 MADISON AVENUE, 30TH FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DELPHI FINANCIAL GROUP INC/DE [ DFG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Former director
3. Date of Earliest Transaction (Month/Day/Year)
05/15/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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
Class A Common Stock 05/15/2012 D 41,848 D $43.875(1) 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 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: 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
Director Stock Option (right to buy) $19.56 05/12/2012 D 16,397 05/29/2004 05/29/2013 Class A Common Stock 16,397 (2) 0 D
Director Stock Option (right to buy) $26.3333 05/15/2012 D 17,142 05/06/2005 05/06/2014 Class A Common Stock 17,142 (2) 0 D
Director Stock Option (right to buy) $26.3333 05/15/2012 D 5,696 08/04/2004 05/06/2014 Class A Common Stock 5,696 (2) 0 D
Director Stock Option (right to buy) $27.8533 05/15/2012 D 17,888 05/25/2006 05/25/2015 Class A Common Stock 17,888 (2) 0 D
Director Stock Option (right to buy) $34.6667 05/15/2012 D 18,632 05/04/2007 05/04/2016 Class A Common Stock 18,632 (2) 0 D
Director Stock Option (right to buy) $42.91 05/15/2012 D 6,991 05/01/2008 05/09/2017 Class A Common Stock 6,991 (2) 0 D
Director Stock Option (right to buy) $27.15 05/15/2012 D 11,049 05/01/2009 05/07/2018 Class A Common Stock 11,049 (2) 0 D
Director Stock Option (right to buy) $19.58 05/15/2012 D 15,322 05/01/2010 05/06/2019 Class A Common Stock 15,322 (2) 0 D
Director Stock Option (right to buy) $26.33 05/15/2012 D 5,697 05/01/2011 05/05/2020 Class A Common Stock 5,697 (2) 0 D
Director Stock Option (right to buy) $29.83 05/15/2012 D 5,028 05/01/2012 05/11/2021 Class A Common Stock 5,028 (2) 0 D
Explanation of Responses:
1. Disposed of pursuant to the Agreement and Plan of Merger dated as of December 21, 2011 by and among the issuer, Tokio Marine Holdings, Inc. and TM Investment (Delaware) Inc. (the "Merger Agreement"), pursuant to which each of the shares was converted into the right to receive $43.875 in cash. In addition, pursuant to the terms of the Merger Agreement, a special cash dividend of $1.00 per share was paid in respect of such shares on May 16, 2012.
2. Pursuant to the terms of the Merger Agreement, such option, whether or not fully vested, was cancelled in exchange for the right to receive a cash payment equal to the amount by which $44.875 exceeded the exercise price per share of such option, multiplied by the number of shares of Class A Common Stock underlying such option.
Remarks:
Chad W. Coulter, Attorney-in-Fact for Edward A. Fox 05/17/2012
** 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).
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