0000101199-16-000423.txt : 20160212 0000101199-16-000423.hdr.sgml : 20160212 20160212131301 ACCESSION NUMBER: 0000101199-16-000423 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: EVANS JACK CENTRAL INDEX KEY: 0001189633 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34257 FILM NUMBER: 161417221 MAIL ADDRESS: STREET 1: 333 W WACKER DRIVE STREET 2: C/O NUVEEN INVESTMENTS CITY: CHICAGO STATE: IL ZIP: 60606 5 1 wf-form5_145530076986391.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000101199 UNITED FIRE GROUP INC UFCS 0001189633 EVANS JACK 118 2ND AVE SE CEDAR RAPIDS IA 52401-1212 1 0 0 0 Common Stock 41374 D Common Stock 7698 I see footnote #2 Stock Option (right to buy) 28.925 2023-05-15 Common Stock 1053.0 1053 D Stock Option (right to buy) 20.4 2016-02-18 2021-02-18 Common Stock 545.0 545 D Stock Option (right to buy) 39.13 2016-02-17 Common Stock 2000.0 2000 D Stock Option (right to buy) 21.095 2022-05-16 Common Stock 858.0 858 D Stock Option (right to buy) 33.78 2018-05-21 Common Stock 3000.0 3000 D Stock Option (right to buy) 31.05 2016-05-17 Common Stock 1333.0 1333 D The total number of securities beneficially held directly by the Reporting Person includes: 39,079 held directly by the Reporting Person; and shares of restricted stock issued under the Issuer's 2005 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. The total number of securities beneficially held indirectly by the Reporting Person includes: 3,674 shares held in an individual retirement account for Mr. Evans' benefit, 2,000 shares in a 401(k) account for Mr. Evans' benefit, and 2,024 shares held in an individual retirement account for the benefit of Mr. Evans' wife. No options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/15/2016, 5/15/2017 and 5/15/2018, respectively. All options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/16/2016 and 5/16/2017, respectively. /s/ Jack B. Evans by Michael T. Wilkins, Attorney-in-Fact 2016-02-12