-----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, SETcd6K7uLvEuYVZSGvpJaL4LvNUf2mDzCNcEy8IqbgBNN+enjdRY7dfKthrUqS2 aXWcKxvn1h2tbY7/qY317g== 0000276380-96-000013.txt : 19961010 0000276380-96-000013.hdr.sgml : 19961010 ACCESSION NUMBER: 0000276380-96-000013 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19961009 FILED AS OF DATE: 19961009 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: 96640920 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 18,397,686 ------------------- 3. Number of shares outstanding after the change 24,647,686 ------------------ 4. Effective date of change September 26, 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 6,250,000 shares of its authorized common stock to a group of investors for a price of $1.00 per share. The investment group was also granted options to purchase an additional 3.125 million shares priced at the higher of $1.50 per share or the book value at the date of exercise and an additional 3.125 million shares at an exercise price of the greater of $2.00 or the book value at the date of excercise, expiring at the end of years 1998 and 2000, respectively. 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 October 09, 1996 /s/ John A. Weitzel ------------------------- -------------------------------- Chief Financial Officer (Officer's signature and title) SEC 1811 (5/91) -----END PRIVACY-ENHANCED MESSAGE-----