-----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, SzLVbkip/8PgqtQF153i9v3ocHQWkDDdBmdd7ZBsDFyC0XMeH0gktDzf9dvoFdpc 01pzNJ7Pbz7yGh0TmLX3Ug== 0001209191-04-046819.txt : 20041004 0001209191-04-046819.hdr.sgml : 20041004 20041004131708 ACCESSION NUMBER: 0001209191-04-046819 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041001 FILED AS OF DATE: 20041004 DATE AS OF CHANGE: 20041004 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: 041061401 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 bcl09778_bcl1mac.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-10-01 0 0000215403 CERES GROUP INC CERG 0001027606 CAVATAIO MICHAEL A 17800 ROYALTON ROAD STRONGSVILLE OH 44136 1 0 0 0 common stock 2004-10-01 4 A 0 1261 5.45 A 182489 D This stock grant represents 50% of such director's quarterly retainer fee. /s/ Kathleen L. Mesel as attorney-in-fact for Michael A. Cavataio 2004-10-01 -----END PRIVACY-ENHANCED MESSAGE-----