-----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, DOPqoe5ifZDUGlDLMpuPjo4apggu2rFvnMFR73G9TvIRngMLmlDRn6KES3AI2kqF 1yMVK5j7+pHH3qFP8WJlWg== 0001209191-05-005816.txt : 20050201 0001209191-05-005816.hdr.sgml : 20050201 20050201114240 ACCESSION NUMBER: 0001209191-05-005816 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050201 DATE AS OF CHANGE: 20050201 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: 05564538 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 0001054962 TIMMERMAN TIMOTHY T 400 EAST ANDERSON LANE AUSTIN TX 78752 1 0 0 0 Citizens, Inc. Class A Common Stock 2004-12-31 5 J 0 556 6.37 A 8493 D Stock Dividend paid 12/31/2004 /s/Timothy T. Timmerman 2005-02-01 -----END PRIVACY-ENHANCED MESSAGE-----