0001209191-12-029300.txt : 20120518 0001209191-12-029300.hdr.sgml : 20120518 20120518171920 ACCESSION NUMBER: 0001209191-12-029300 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20120516 FILED AS OF DATE: 20120518 DATE AS OF CHANGE: 20120518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carlton Scott L CENTRAL INDEX KEY: 0001550220 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34257 FILM NUMBER: 12856510 MAIL ADDRESS: STREET 1: 118 SECOND AVENUE SE CITY: CEDAR RAPIDS STATE: IA ZIP: 52401 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: 52407 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 3 1 doc3.xml FORM 3 SUBMISSION X0205 3 2012-05-16 0 0000101199 UNITED FIRE GROUP INC UFCS 0001550220 Carlton Scott L 118 SECOND AVENUE SE CEDAR RAPIDS IA 52041 1 0 0 0 Common Stock 113861 D Common Stock 32485 I by children Stock Option (right to buy) 21.095 2022-05-16 Common Stock 2145 D The number of Issuer securities held directly by the Reporting Person includes 582 shares of restricted stock issued under the Issuer's 2005 Non-Employee Director Stock Option and Restricted Stock Plan. These shares will vest, subject to certain conditions, on May 16, 2013. 2,145 options become exercisable in five equal installments of 429 options each on 05/16/2013, 05/16/2014, 05/16/2015, 05/16/2016 and 05/16/2017. /s/ Scott L. Carlton by Dianne M. Lyons, Attorney-in-Fact 2012-05-18 EX-24.3_425068 2 poa.txt POA DOCUMENT POWER OF ATTORNEY The undersigned hereby consitutes and appoints each of Randy A. Ramlo, Barrie W. Ernst and Dianne M. Lyons, or any of them acting individually, the undersigned's true and lawful attorney-in-fact to: (1) Execute for and on behalf of the undersigned Forms 3, 4, and 5 with respect to the securities of United Fire Group, Inc. in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (2) Execute for and on behalf of the undersigned filings with respect to the securities of United Fire Group, Inc. in accordance with Section 13 of the Securities Exchange Act of 1934 and the rules thereunder; (3) Do and perform any and all acts for and on behalf of the undersigned that may be necessary or desirable to complete and execute any such Form 3, 4, or 5, any such Section 13 filings, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; (4) Execute for and on behalf of the undersiged Form ID; and (5) Take any other action of any type whatsoever in connection with the foregoing which, in the opinion of the attorney-in-fadct, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorny-in-fact's discretion. The undersigned hereby grants each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do personally persent, with full powers of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges the the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is United Fire Group, Inc. assuming, any of the undersigned's responsibilities to comply with Section 13 or Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5, or Section 13 filings with respect to the undersigned's holdings of, and transactions in, securities issued by United Fire Group, Inc., unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this day of May 16, 2012. /s/Scott L. Carlton Signature Scott L. Carlton Print Name