-----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, Kci1e/oexzlymoS9JsGQMS+/PjdaWfmZ4AHxoytUOGwdhetS18pPSkyuWDsbx2xI jAeSQvoMfROiYwap3aOHWw== 0001209191-05-009103.txt : 20050214 0001209191-05-009103.hdr.sgml : 20050214 20050214134431 ACCESSION NUMBER: 0001209191-05-009103 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN FINANCIAL GROUP INC CENTRAL INDEX KEY: 0001042046 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 311544320 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE EAST FOURTH STREET STREET 2: SUITE 919 CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 5135792121 MAIL ADDRESS: STREET 1: ONE EAST FOURTH STREET STREET 2: SUITE 919 CITY: CINCINNATI STATE: OH ZIP: 45202 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN FINANCIAL GROUP HOLDINGS INC DATE OF NAME CHANGE: 19970709 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENSEN KEITH A CENTRAL INDEX KEY: 0001185855 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13653 FILM NUMBER: 05606827 BUSINESS ADDRESS: STREET 1: ONE EAST FOURTH STREET STREET 2: SUITE 919 CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 5135792540 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-12-31 0 0 0 0001042046 AMERICAN FINANCIAL GROUP INC AFG 0001185855 JENSEN KEITH A ONE EAST FOURTH STREET CINCINNATI OH 45202 0 1 0 0 Sr. Vice President Common Stock 3426 D Common Stock 406.2082 I 401-k Deferred Compensation 31.31 Common Stock 6773.274 6773.274 D Allocated to the Reporting Person's account in the Issuer's Retirement and Savings Plan ("401(k) Plan"), based on a 401(k) Plan statement dated as of 12/31/04. Represents amounts deferred by the Reporting Person in the Issuer's Deferred Compensation Plan. The account value increases or decreases based on the value of the Issuer's common stock. Upon termination of employment or earlier, if so elected, the Reporting Person's account balance may be distributed, at the option of the Issuer, either in cash or in shares of the Issuer's common stock. Keith A. Jensen By: Karl J. Grafe, as Attorney-in-Fact 2005-02-14 -----END PRIVACY-ENHANCED MESSAGE-----