-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, R9VysG0Cj6WA8faJTdnC5pqcEY4PdXnpXSwi3b9lTPLfhIO4n0x+2nt4q9JPmvGx 5sEEkcLmou06bNXkuYryzQ== 0001235956-04-000037.txt : 20040622 0001235956-04-000037.hdr.sgml : 20040622 20040622181006 ACCESSION NUMBER: 0001235956-04-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040622 FILED AS OF DATE: 20040622 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 21ST CENTURY INSURANCE GROUP CENTRAL INDEX KEY: 0000100331 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 951935264 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6301 OWENSMOUTH AVE STE 700 CITY: WOODLAND HILLS STATE: CA ZIP: 91367 BUSINESS PHONE: 8187043700 FORMER COMPANY: FORMER CONFORMED NAME: 20TH CENTURY INDUSTRIES DATE OF NAME CHANGE: 19950420 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHEPARD GREGORY M CENTRAL INDEX KEY: 0001065833 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10828 FILM NUMBER: 04875682 BUSINESS ADDRESS: STREET 1: 303 E WASHINGTON STREET CITY: BLOOMINGTON STATE: IL ZIP: 61701 BUSINESS PHONE: 3095571210 MAIL ADDRESS: STREET 1: 303 E WASHINGTON STREET CITY: BLOOMINGTON STATE: IL ZIP: 61701 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-06-22 1 0000100331 21ST CENTURY INSURANCE GROUP TW 0001065833 SHEPARD GREGORY M 1 0 0 0 Common Stock 2004-06-22 4 P 0 21800 12.8339 A 30000 D Common Stock 6100000 I by Corporation Ronald S. Veltman with Power of Attorney for Gregory M. Shepard 2004-06-22 -----END PRIVACY-ENHANCED MESSAGE-----