-----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, JFVaWjdOPogHGicESBvcB3pk0hST1z6mFYHv3NQX9VMIPeb5I2DC8NdtW86lycte 5Qxpl1Z6Dmxof7hEmxl75A== 0000703701-04-000007.txt : 20040210 0000703701-04-000007.hdr.sgml : 20040210 20040210160308 ACCESSION NUMBER: 0000703701-04-000007 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOENIG CYNTHIA B CENTRAL INDEX KEY: 0001278452 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10873 FILM NUMBER: 04582072 MAIL ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801 CHERRY ST UNIT 33 CITY: FORT WORTH STATE: TX ZIP: 76102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ASCENT ASSURANCE INC CENTRAL INDEX KEY: 0000703701 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 731165000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801 CHERRY STREET, UNIT 33 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8178783300 MAIL ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801 CHERRY STREET, UNIT 33 CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: WESTBRIDGE CAPITAL CORP DATE OF NAME CHANGE: 19920703 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 0 0000703701 ASCENT ASSURANCE INC AASR 0001278452 KOENIG CYNTHIA B 3100 BURNETT PLAZA 801 CHERRY ST UNIT 33 FORT WORTH TX 76102 0 1 0 0 Sr. Vice President & CFO Common Stock 24500 D Common Stock 7425 I 401(k) Plan Option 0.01 2002-04-14 2009-04-14 Common Stock 28000 28000 D Option 4.39 2003-04-14 2009-04-14 Common Stock 28000 28000 D Option 4.39 2004-04-14 2009-04-14 Common Stock 19000 19000 D Cynthia B. Koenig 2004-02-09 -----END PRIVACY-ENHANCED MESSAGE-----