-----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, Vyc2JON6191+23OBlqPwIjf8mUYn+tqqTvwN9guntyL/E7DiCEatPTRr1Fo4UqVX j+aw+fOyixu5kNb/FOMXWg== 0000276380-96-000008.txt : 19960411 0000276380-96-000008.hdr.sgml : 19960411 ACCESSION NUMBER: 0000276380-96-000008 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19960410 FILED AS OF DATE: 19960410 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: SEIBELS BRUCE GROUP INC CENTRAL INDEX KEY: 0000276380 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 570672136 STATE OF INCORPORATION: SC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 000-08804 FILM NUMBER: 96545900 BUSINESS ADDRESS: STREET 1: 1501 LADY ST STREET 2: P O BOX 1 CITY: COLUMBIA STATE: SC ZIP: 29201 BUSINESS PHONE: 8037482000 MAIL ADDRESS: STREET 1: 1501 LADY ST STREET 2: P O BOX 1 CITY: COLUMBIA STATE: SC ZIP: 29201 10-C 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 10-C REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ INTERDEALER QUOTATION SYSTEM Filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and Rule 13a-17 or 15d-17 thereunder The Seibels Bruce Group, Inc. ----------------------------------------- (Exact name of issuer as specified in charter) 1501 Lady Street, Columbia, SC 29201 ----------------------------------------------- (Address of principal executive offices) Issuer's telephone number, including area code (803) 748-2000 -------------------- I. CHANGE IN NUMBER OF SHARES OUTSTANDING Indicate any change (increase or decrease) of 5% or more in the number of shares outstanding: 1. Title of security Common stock, par value $1.00 per share -------------------------------------------- 2. Number of shares outstanding before the change 16,772,686 * ------------------- 3. Number of shares outstanding after the change 18,407,686 * ------------------ 4. Effective date of change March 28, 1996 ---------------------- 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) Distribution ------------------------- Give brief description of transaction : The Company issued 1,635,000 shares of its authorized common stock to a group of investors for a price of $2.00 per share. The investment group was also granted options expiring at the end of the year 2000 to purchase an additional 1.635 million shares priced at the higher of $2.50 per share or the book value at the date of exercise. * - Not included in outstanding shares is 6,250,000 shares issued without voting rights pending the special shareholders' meeting in the second quarter of 1996. II. CHANGE IN NAME OF ISSUER 1. Name prior to change --------------------------------------------------- 2. Name after change ----------------------------------------------------- 3. Effective date of charter amendment changing name ---------------------- 4. Date of shareholder approval of change, if required ------------------- Date April 10, 1996 /s/ John A. Weitzel ------------------------- -------------------------------- Chief Financial Officer (Officer's signature and title) SEC 1811 (5/91) -----END PRIVACY-ENHANCED MESSAGE-----