-----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, Q7lTp5O8qK3DXoghlEM24e9PvFzSu5TaA6wzGg32nTaL3nz5XLQWnHA9NTxypr5H 2R3n8MlKEgTHY5NbCTfKkw== 0001209191-04-001810.txt : 20040107 0001209191-04-001810.hdr.sgml : 20040107 20040107101802 ACCESSION NUMBER: 0001209191-04-001810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040101 FILED AS OF DATE: 20040107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAVATAIO MICHAEL A CENTRAL INDEX KEY: 0001027606 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08483 FILM NUMBER: 04511979 BUSINESS ADDRESS: STREET 1: 1750 E GOLF ROAD CITY: SCHAUMBURG STATE: IL ZIP: 60173 BUSINESS PHONE: 8479950400 MAIL ADDRESS: STREET 1: 1750 E GOLF ROAD CITY: SCHAUMBURG STATE: IL ZIP: 60173 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CERES GROUP INC CENTRAL INDEX KEY: 0000215403 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 341017531 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17800 ROYALTON RD CITY: STRONGSVILLE STATE: OH ZIP: 44136 BUSINESS PHONE: 2165722400 MAIL ADDRESS: STREET 1: 17800 ROYALTON RD CITY: STRONGSVILLE STATE: OH ZIP: 44136 FORMER COMPANY: FORMER CONFORMED NAME: CENTRAL RESERVE LIFE CORP DATE OF NAME CHANGE: 19920703 4 1 bcl04935_bcl1mac.xml MAIN DOCUMENT DESCRIPTION X0201 42004-01-0100000215403CERES GROUP INC CERG0001027606CAVATAIO MICHAEL ASTRONGSVILLEOH441361000non-qualif ied stock options5.912004-01-014A011645.91A2004-01-012014-01-01common stock1164108531D/s/ Kathleen L. Mesel as attorney-in-fact for Michael A. Cavataio2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----