0000101199-16-000411.txt : 20160212 0000101199-16-000411.hdr.sgml : 20160212 20160212110558 ACCESSION NUMBER: 0000101199-16-000411 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160212 DATE AS OF CHANGE: 20160212 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNITED FIRE GROUP INC CENTRAL INDEX KEY: 0000101199 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 452302834 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 118 SECOND AVE SE CITY: CEDAR RAPIDS STATE: IA ZIP: 52401 BUSINESS PHONE: 3193995700 MAIL ADDRESS: STREET 1: P O BOX 73909 CITY: CEDAR RAPIDS STATE: IA ZIP: 52407 FORMER COMPANY: FORMER CONFORMED NAME: UNITED FIRE GROUP, INC. DATE OF NAME CHANGE: 20120202 FORMER COMPANY: FORMER CONFORMED NAME: UNITED FIRE & CASUALTY CO DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HULTQUIST DOUGLAS M CENTRAL INDEX KEY: 0001222103 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34257 FILM NUMBER: 161416096 5 1 wf-form5_145529314661966.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000101199 UNITED FIRE GROUP INC UFCS 0001222103 HULTQUIST DOUGLAS M 118 2ND AVE SE CEDAR RAPIDS IA 52401-1212 1 0 0 0 Common Stock 7726 D Phantom Stock Common Stock 2190.9809 2190.9809 D Stock Option (right to buy) 22.46 2020-05-19 Common Stock 2727.0 2727 D Stock Option (right to buy) 33.78 2018-05-21 Common Stock 3000.0 3000 D Stock Option (right to buy) 21.095 2022-05-16 Common Stock 2145.0 2145 D Stock Option (right to buy) 28.925 2023-05-15 Common Stock 1755.0 1755 D Stock Option (right to buy) 20.4 2021-02-18 Common Stock 2727.0 2727 D Stock Option (right to buy) 29.28 2017-11-16 Common Stock 2000.0 2000 D The number of shares beneficially held directly by the Reporting Person includes: 5431 shares held by Mr. Hultquist individually and shares of restricted stock issued to Mr. Hultquist under the Issuer's Non-Qualified Non-Employee Director Stock Option and Restricted Stock Plan, including 857 shares that vest in equal installments on 5/21/2016 and 5/21/2017, and 1438 shares that vest in equal installments on 5/20/2016, 5/20/2017 and 5/20/2018. Each share of phantom stock is the economic equivalent of one share of the Issuer's common stock. The shares of phantom stock become payable, in cash, in one lump sum or prorated over five years, at the election of the Reporting Person, upon the Reporting Person's termination of service as a director. All options currently exercisable. 1287 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/16/2016 and 5/16/2017, respectively. 702 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/15/2016, 5/15/2017 and 5/15/2018, respectively. 2182 options currently exercisable. Remaining options become vested and exercisable on 02/18/2016. /s/ Douglas M. Hultquist by Michael T. Wilkins, Attorney-in-Fact 2016-02-12