0001209191-13-003276.txt : 20130116
0001209191-13-003276.hdr.sgml : 20130116
20130116161548
ACCESSION NUMBER: 0001209191-13-003276
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120516
FILED AS OF DATE: 20130116
DATE AS OF CHANGE: 20130116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Drahozal Christopher R
CENTRAL INDEX KEY: 0001450669
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34257
FILM NUMBER: 13532660
MAIL ADDRESS:
STREET 1: 2001 RIVIERA COURT
CITY: LAWRENCE
STATE: KS
ZIP: 66047-1999
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
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2012-05-16
2012-05-18
0
0000101199
UNITED FIRE GROUP INC
UFCS
0001450669
Drahozal Christopher R
118 SECOND AVENUE SE
P.O. BOX 73909
CEDAR RAPIDS
IA
52407-3909
1
0
0
0
Common Stock
2012-05-16
4
A
0
582
20.90
A
3256
D
Common Stock
384698
I
See footnote #2
Stock Option (right to buy)
21.095
2012-05-16
4
A
0
2145
0.00
A
2022-05-16
Common Stock
2145
2145
D
The number of shares are held directly by the Reporting Person following the reported transaction include 2,674 shares held jointly by Mr. Drahozal and his wife and 582 shares of restricted stock issued under the Issuer's 2005 Non-Qualified Non-Employee Director Stock Option and Restricted Stock Plan which vest, subject to certain conditions, on May 16, 2013.
The number of shares beneficially held indirectly by the Reporting Person following the reported transaction includes: 243,086 shares held directly by Mr. Drahozal's wife; 74,714 shares held by Mr. Drahozal's children; and 66,898 shares held by a trust for the benefit of Mr. Drahozal's children where he and his wife serve as co-trustees.
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.
This amended Form 4 is being filed to correct two errors in the original report. In Table 1, Section 5, the number of shares held by the Reporting Person following the transaction was corrected from 2,674 to 3,256. In Table 2, Section 3, the Transaction Date was corrected from 02/16/2012 to 05/16/2012.
/s/ Christopher R. Drahozal by Dianne M. Lyon, Attorney-in-Fact
2013-01-16