-----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, D/nt0Q/C5x65Kivaevo9a+Yvj6fvEv/q8m96twQqNW7heytG9LEWFsli8ajoIEXk MO57nZM3aBiJDKh852D62g== 0001209191-04-035577.txt : 20040712 0001209191-04-035577.hdr.sgml : 20040712 20040712145254 ACCESSION NUMBER: 0001209191-04-035577 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040701 FILED AS OF DATE: 20040712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Giambra Ernest T CENTRAL INDEX KEY: 0001296844 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08483 FILM NUMBER: 04910071 BUSINESS ADDRESS: BUSINESS PHONE: (440) 572-2400 MAIL ADDRESS: STREET 1: 17800 ROYALTON ROAD CITY: STRONGSVILLE STATE: OH ZIP: 44136 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 3 1 bcl08552_bcl1etg.xml MAIN DOCUMENT DESCRIPTION X0202 3 2004-07-01 0 0000215403 CERES GROUP INC CERG 0001296844 Giambra Ernest T 17800 ROYALTON ROAD STRONGSVILLE OH 44136 0 1 0 0 EVP, Chief Marketing Officer non-qualified stock options 6.14 2007-07-01 2014-07-01 common stock 100000 D /s/ Kathleen L. Mesel as attorney-in-fact for Ernest T. Giambra, Jr. 2004-07-12 -----END PRIVACY-ENHANCED MESSAGE-----