-----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, Cx7g5MlmznMK6aAxU7b8u09RTlo8jGEjGSmt1jYLZM4HZ7M4899ypQYFBU6KmY3o K/xKUmgJL2zbqB5JIReY0g== 0001209191-04-002840.txt : 20040114 0001209191-04-002840.hdr.sgml : 20040114 20040114133704 ACCESSION NUMBER: 0001209191-04-002840 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040101 FILED AS OF DATE: 20040114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLEMING SUSAN S CENTRAL INDEX KEY: 0001179676 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-08483 FILM NUMBER: 04524543 MAIL ADDRESS: STREET 1: SIX INTERNATIONAL DR STREET 2: STE 190 CITY: RYE BROOK STATE: NY ZIP: 10573-1068 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/A 1 bcl05079_bcl1ssf.xml MAIN DOCUMENT DESCRIPTION X0201 4/A2004-01-012004-01-1200000215403CERES GROUP INC CERG0001179676FLEMING SUSAN SSTRONGSVILLEOH441361000non-qualified stock options2.482003-05-204A0150002.48A2003-05-202013-05-20common stock1500015 000IThese options were issued to Insurance Partners Advisors, L.P. of which Ms. Fleming is an associate.non-qualified stock options5.912004-01-014A020345.91A2004-01-012014-01-01common stock20342034DMs. Fleming disclaims any beneficial ownership of these options./s/ Kathleen L. Mesel as attorney-in-fact for Susan S. Fleming2004-01-12 -----END PRIVACY-ENHANCED MESSAGE-----