0000101199-16-000421.txt : 20160212 0000101199-16-000421.hdr.sgml : 20160212 20160212130854 ACCESSION NUMBER: 0000101199-16-000421 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: Carlton Scott L CENTRAL INDEX KEY: 0001550220 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34257 FILM NUMBER: 161417197 MAIL ADDRESS: STREET 1: 118 SECOND AVENUE SE CITY: CEDAR RAPIDS STATE: IA ZIP: 52401 5 1 wf-form5_145530052317076.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000101199 UNITED FIRE GROUP INC UFCS 0001550220 Carlton Scott L 118 2ND AVE SE CEDAR RAPIDS IA 52401-1212 1 0 0 0 Common Stock 36260 I by Reporting Person's children Common Stock 80991 D Stock Option (right to buy) 28.925 2023-05-15 Common Stock 1755.0 1755 D Stock Option (right to buy) 21.095 2022-05-16 Common Stock 2145.0 2145 D The number of shares held indirectly by the Reporting Person includes 36,260 shares held for the benefit of the Reporting Person's children. The number of shares held directly by the Reporting Person includes: 78,696 shares held directly by the Reporting Person; and shares of restricted stock issued 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. 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. 1287 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/16/2016 and 5/16/2017, respectively. /s/ Scott L. Carlton by Michael T. Wilkins, Attorny-in-Fact 2016-02-12