SEC FORM 4

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

FORTIS INSURANCE N V

(Last)

(First)

(Middle)

ARCHIMEDESLANN 6

(Street)

3500 GA UTRECHT

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
ASSURANT INC [ AIZ ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
02/10/2004

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	02/10/2004		J⁽¹⁾		32,976,854	A	$22	114,708,159	D
Common Stock	02/10/2004		J⁽²⁾		25,841,418	A	$22	140,549,577	D
Common Stock	02/10/2004		J⁽³⁾		1,649,553	A	⁽³⁾	142,199,130	D
Common Stock	02/10/2004		J⁽⁴⁾		92,000,000	D	$22	50,199,130	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Class C Common Stock	$22	02/10/2004		J⁽⁶⁾			400,001	02/10/2004	⁽⁵⁾	Common Stock	⁽⁶⁾	$1,000	0	I	By Fortis (US) Funding Partners II LP
Class B Common Stock	$22	02/10/2004		J⁽⁶⁾			150,001	02/10/2004	⁽⁵⁾	Common Stock	⁽⁶⁾	$1,000	0	I	By Fortis (US) Funding Partners I LP

Explanation of Responses:

1. Acquired upon consummation of the initial public offering of Assurant, Inc. (the "Assurant IPO") in exchange for a capital contribution of approximately $725.5 million as described in Assurant's Final Prospectus, filed with the Commission on February 4, 2004 (the "Assurant Final Prospectus").

2. Acquired upon consummation of the Assurant IPO and pursuant to automatic conversion of Class B and Class C Common Stock in accordance with their respective terms.

3. Distribution from Fortis (US) Funding Partners I LP and Fortis (US) Partners II LP in connection with the consummation of the Assurant IPO as described in the Assurant Final Prospectus.

4. Offered and sold pursuant to the Assurant Final Prospectus.

5. Not applicable.

6. Upon consummation of the Assurant IPO, the Class B and Class C Common Stock automatically converted into an aggregate of 25,841,418 shares of Assurant Common Stock.

	Kristof Macours, Senior Legal Advisor, on behalf of Fortis Insurance N.V.	02/11/2004
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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