-----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, TIi2LMcUG9EUMyelQR8E7LL+AebZgwxqUhqv0CwSXBv242UQKPkLT9WqTvxP5Obe 2rKMM2unCmyi1G+IQJo7KA== 0001209191-05-005491.txt : 20050131 0001209191-05-005491.hdr.sgml : 20050131 20050131105745 ACCESSION NUMBER: 0001209191-05-005491 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050131 DATE AS OF CHANGE: 20050131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RILEY RICK D CENTRAL INDEX KEY: 0001054959 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16509 FILM NUMBER: 05560243 BUSINESS ADDRESS: BUSINESS PHONE: 5128377100 MAIL ADDRESS: STREET 1: P O BOX 149151 CITY: AUSTIN STATE: TX ZIP: 78714-9151 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 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-12-31 0 0 0 0000024090 CITIZENS INC CIA 0001054959 RILEY RICK D 400 EAST ANDERSON LANE AUSTIN TX 78752 1 1 0 0 CEO Citizens, Inc. Class A Common 2004-12-31 5 J 0 29827 0.00 A 455368.9004 D Citizens, Inc. Class A Common 2004-12-31 5 J 0 1747 0.00 A 20621 I Joint tenant with spouse Citizens, Inc. Class A Common 2004-12-31 5 J 0 1578 0.00 A 20603 I Trustee for spouse Citizens, Inc. Class A Common 2004-12-31 5 J 0 16893 0.00 A 258198 I Trustee for children Stock Dividend Rick D. Riley 2005-01-30 -----END PRIVACY-ENHANCED MESSAGE-----