-----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, SDKRYmgKs6ovAORM25q3tNLhfzvF3tEs5moX+3aULeQAatcbRI7VgGCSbJNzPYJ6 K4V5OssZZ9tluX5r5aAUCQ== 0001209191-05-009104.txt : 20050214 0001209191-05-009104.hdr.sgml : 20050214 20050214134518 ACCESSION NUMBER: 0001209191-05-009104 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 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 RAY A CENTRAL INDEX KEY: 0001227896 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16509 FILM NUMBER: 05606835 BUSINESS ADDRESS: STREET 1: P O BOX 149151 CITY: AUSTIN STATE: TX ZIP: 78714 BUSINESS PHONE: 5128377100 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-12-31 0 0 0 0000024090 CITIZENS INC CIA 0001227896 RILEY RAY A 400 EAST ANDERSON LANE AUSTIN TX 78752 0 1 0 0 COO Citizens, Inc. Class A Common Stock 2004-01-06 5 L 0 51 9.80 A 257213 D Citizens, Inc. Class A Common Stock 2004-02-04 5 L 0 57 8.78 A 257270 D Citizens, Inc. Class A Common Stock 2004-03-10 5 L 0 60 8.33 A 257330 D Citizens, Inc. Class A Common Stock 2004-04-12 5 L 0 61 8.38 A 257391 D Citizens, Inc. Class A Common Stock 2004-05-06 5 L 0 74 6.88 A 257465 D Citizens, Inc. Class A Common Stock 2004-06-03 5 L 0 68 7.35 A 257533 D Citizens, Inc. Class A Common Stock 2004-07-12 5 L 0 67 7.53 A 257600 D Citizens, Inc. Class A Common Stock 2004-08-04 5 L 0 86 5.89 A 257686 D Citizens, Inc. Class A Common Stock 2004-09-02 5 L 0 84 5.98 A 257770 D Citizens, Inc. Class A Common Stock 2004-10-05 5 L 0 82 6.20 A 257852 D Citizens, Inc. Class A Common Stock 2004-11-03 5 L 0 84 6.05 A 257936 D Citizens, Inc. Class A Common Stock 2004-12-08 5 L 0 83 6.13 A 258019 D Citizens, Inc. Class A Common Stock 2004-12-31 5 J 0 18003 6.37 A 276022 D Citizens, Inc. Class A Common Stock 2004-12-30 5 G 0 4000 6.30 D 14886 I Joint Tenant with Spouse Citizens, Inc. Class A Common Stock 2004-12-31 5 J 0 1323 6.37 A 16209 I Joint Tenant with Spouse Citizens, Inc. Class A Common Stock 2004-12-31 5 J 0 211 6.34 A 3225 I Trustee for Spouse Citizens, Inc. Class A Common Stock 2004-12-31 5 J 0 10632 6.37 A 162475 I Custodian Account for Children These shares were purchased through the Employee Stock Purchase Plan as part of regular monthly payroll deduction. Stock Dividend paid 12/31/2004 Gift for Hyde Park Baptist Church /s/Ray A. Riley 2005-02-14 -----END PRIVACY-ENHANCED MESSAGE-----