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