-----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, OOikUQH9UcjCQZLxNaEw0O2OvQGEC/xJw+WnT4S5b4VZtiVcvPgSlarGoSE6H6WN djadbQmZEJWNUKHZg0lGTg== 0001209191-04-005671.txt : 20040130 0001209191-04-005671.hdr.sgml : 20040130 20040130170804 ACCESSION NUMBER: 0001209191-04-005671 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040130 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: TIMMERMAN TIMOTHY T CENTRAL INDEX KEY: 0001054962 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16509 FILM NUMBER: 04556691 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 1 bdn12262_bod2ttt.xml MAIN DOCUMENT DESCRIPTION X0201 5 2003-12-31 0 0 1 0000024090 CITIZENS INC CIA 0001054962 TIMMERMAN TIMOTHY T 400 E. ANDERSON LANE AUSTIN TX 78752 1 0 0 0 Class A Common Stock 2003-12-31 4 L 0 520.0000 0 A 7937.0000 D These shares were received through a 7% stock dividend on December 31, 2003. /s/ Timothy T. Timmerman 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----