-----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, C1mHhk0qhVbja1T+YT09HbCxwnx5TTSxxQ46WrfR+J0+uv/hDSZ/WC58TZ6p+RnY c4DqAyKEJPzFY6EVsGk4pw== 0001209191-05-031760.txt : 20050615 0001209191-05-031760.hdr.sgml : 20050615 20050614112304 ACCESSION NUMBER: 0001209191-05-031760 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050610 FILED AS OF DATE: 20050614 DATE AS OF CHANGE: 20050614 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 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: 05893952 BUSINESS ADDRESS: BUSINESS PHONE: 8479950400 MAIL ADDRESS: STREET 1: 1750 E GOLF ROAD CITY: SCHAUMBURG STATE: IL ZIP: 60173 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-06-10 0 0000215403 CERES GROUP INC CERG 0001027606 CAVATAIO MICHAEL A 17800 ROYALTON ROAD STRONGSVILLE OH 44136 1 0 0 0 common stock 2005-06-10 4 X 0 4979 5.41 A 180066 D warrant 5.41 2005-06-10 4 X 0 66203 0.00 D 1998-07-01 2005-07-01 common stock 4979 17034 D Represents net warrant shares as warrant was exercised on a cashless basis. Warrant was acquired in the connection with the purchase of 130,616 shares of common stock at $5.50 per share on July 3, 1998. /s/ Kathleen L. Mesel as attorney-in-fact for Michael A. Cavataio 2005-06-14 -----END PRIVACY-ENHANCED MESSAGE-----