SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
KELLEY BRUCE G

(Last) (First) (Middle)
14 GLENVIEW DRIVE

(Street)
DES MOINES IA 50312

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EMC INSURANCE GROUP INC [ EMCI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
02/26/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
EMC Insurance Group Inc - Common Stock 02/26/2004 F 3,887 D $22.67 79,656 D
EMC Insurance Group Inc. - Common Stock 02/26/2004 M 10,000 A $8.8125 89,656 D
EMC Insurance Group Inc. - Common Stock 24,698 I Children
EMC Insurance Group Inc. - Common Stock 1,500 I Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
ISO Right to buy $8.8125 02/26/2004 M 10,000 04/01/1995 04/01/2004 Common Stock 10,000 $22.67 0 D
ISO Right to Buy $10 02/01/1996(1) 02/01/2005 Common Stock 10,000 10,000 D
ISO Right to Buy $13.25 02/01/1997(1) 02/01/2006 Common Stock 6,000 16,000 D
ISO Right to Buy $12.25 02/01/1998(1) 02/01/2007 Common Stock 10,000 26,000 D
ISO Right to Buy $9.25 08/01/2001(1) 08/01/2010 Common Stock 10,000 36,000 D
ISO Right to Buy $18.3 02/01/2003(1) 02/01/2012 Common Stock 4,000 40,000(2) D
ISO Right to Buy $16.875 02/07/2004(1) 02/07/2013 Common Stock 5,000 5,000 D
ISO Right to Buy $22.28 02/06/2005(1) 02/06/2014 Common Stock 6,000 11,000(3) D
Explanation of Responses:
1. Options vest in five equal annual installments beginning one year from date of grant.
2. Aggregate total of options to buy under the 1993 Incentive Stock Option Plan.
3. Aggregate total of options to buy under the 2003 Incentive Stock Option Plan.
Bruce G. Kelley 02/27/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.