-----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, JuQEuas5zfhn0LTmVBpatRDaCFbfxonCM6mNaJuC738cECfj/8Mup3Hg+EuPkiMw Ckz/MkQn5K7Dl/NbMDyE9Q== 0001005477-04-001541.txt : 20040412 0001005477-04-001541.hdr.sgml : 20040412 20040412174510 ACCESSION NUMBER: 0001005477-04-001541 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040412 FILED AS OF DATE: 20040412 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CITIZENS INC CENTRAL INDEX KEY: 0000024090 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 840755371 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 EAST ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752 BUSINESS PHONE: 5128377100 MAIL ADDRESS: STREET 1: 400 EAST ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752 FORMER COMPANY: FORMER CONFORMED NAME: CONTINENTAL INVESTORS LIFE INC DATE OF NAME CHANGE: 19881222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RILEY RICK D CENTRAL INDEX KEY: 0001054959 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-16509 FILM NUMBER: 04729297 BUSINESS ADDRESS: STREET 1: P O BOX 149151 CITY: AUSTIN STATE: TX ZIP: 78714-9151 BUSINESS PHONE: 5128377100 MAIL ADDRESS: STREET 1: P O BOX 149151 CITY: AUSTIN STATE: TX ZIP: 78714-9151 5/A 1 edgar123.xml AMENDMENT TO FORM 5 X0201 5/A 2004-04-12 2004-02-12 0 0 0 0000024090 CITIZENS INC CIA 0001054959 RILEY RICK D 5602 PAINTED VALLEY DR AUSTIN TX 78714-9151 1 1 0 0 CEO Citizens, Inc. 2003-12-31 5 J 0 637.0000 D 409414.0000 D Citizens, Inc. 2117.3999 D Citizens, Inc. 22062.0000 I Joint with Spouse Citizens, Inc. 19527.0000 I Trustee for Spouse Citizens, Inc. 227940.0000 I Trustee for Children This entry corrects duplicate reporting of 637 shares purchased through the Citizens, Inc. stock investment plan during 2002 and deposited by Mellon Investor Services directly into the plan in February 2003 rather than issuing a certificate as had been the plan's historical practice. Rick D. Riley 2004-04-09 -----END PRIVACY-ENHANCED MESSAGE-----