-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, D7Vkqs7hEBFeVFA/Q6wizJu82wc0FXWpBk8dQs2zEJkRPpzyCOt6vF6JEqRUKmMj 8JfgeQmkCCvZKG3kKEfeXQ== 0001041665-10-000054.txt : 20101004 0001041665-10-000054.hdr.sgml : 20101004 20101004163343 ACCESSION NUMBER: 0001041665-10-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101001 FILED AS OF DATE: 20101004 DATE AS OF CHANGE: 20101004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Santulli John III CENTRAL INDEX KEY: 0001457184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31706 FILM NUMBER: 101106133 MAIL ADDRESS: STREET 1: 380 SENTRY PARKWAY CITY: BLUE BELL STATE: PA ZIP: 19422 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PMA CAPITAL CORP CENTRAL INDEX KEY: 0001041665 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 232217932 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 380 SENTRY PARKWAY CITY: BLUE BELL STATE: PA ZIP: 19422 BUSINESS PHONE: 610-397-5298 MAIL ADDRESS: STREET 1: 380 SENTRY PARKWAY CITY: BLUE BELL STATE: PA ZIP: 19422 FORMER COMPANY: FORMER CONFORMED NAME: PENNSYLVANIA MANUFACTURERS CORP DATE OF NAME CHANGE: 19970702 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2010-10-01 1 0001041665 PMA CAPITAL CORP PMACA 0001457184 Santulli John III 380 SENTRY PARKWAY BLUE BELL PA 19422 0 1 0 0 EVP Class A Common Stock, par value $5.00 per share 2010-10-01 4 D 0 17637 D 0 D Employee Stock Option (right to buy) 19.50 2010-10-01 4 D 0 5000 D 2012-02-06 Class A Common Stock, par value $5.00 per share 5000 0 D Employee Stock Option (right to buy) 5.78 2010-10-01 4 D 0 2888 D 2014-03-10 Class A Common Stock, par value $5.00 per share 2888 0 D Employee Stock Option (right to buy) 7.87 2010-10-01 4 D 0 12623 D 2015-03-15 Class A Common Stock, par value $5.00 per share 12623 0 D Stock Appreciation Right 18.00 2010-10-01 4 D 0 10000 D 2011-02-07 Class A Common Stock, par value $5.00 per share 10000 0 D Disposed of pursuant to merger agreement between issuer and Old Republic International Corporation in exchange for 9,700 shares of Old Republic International Corporation's common stock having a market value of $13.67 per share at the effective date of the merger. This option, which provided for vesting in three equal installments on February 6, 2004, 2005 and 2006, was assumed by Old Republic International Corporation in the merger and replaced with an option to purchase 2,750 shares of Old Republic International Corporation common stock for $35.45 per share. This option, which vested on March 10, 2005, was assumed by Old Republic International Corporation in the merger and replaced with an option to purchase 1,588 shares of Old Republic International Corporation common stock for $10.51 per share. This option, which vested in two equal installments on March 15, 2006 and 2007, was assumed by Old Republic International Corporation in the merger and replaced with an option to purchase 6,942 shares of Old Republic International Corporation common stock for $14.31 per share. This stock appreciation right, which vested in three equal installments on February 7, 2003, 2004 and 2005, was assumed by Old Republic International Corpration in the merger and replaced with a stock appreciation right with respect to 5,500 shares of Old Repubic International Corporation's common stock for $32.73 per share. /s/ Robert B. Munoz, Attorney-in-Fact 2010-10-04 -----END PRIVACY-ENHANCED MESSAGE-----