-----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, JbzTPMt3yxq/h3plDR+9cUQLduC7XA+j+t8/TQsGBEC6us7+PQUd+Gijdgkd+CjB WH+FxXa6aajJ6Y2sqvm9mQ== 0000703701-04-000015.txt : 20040212 0000703701-04-000015.hdr.sgml : 20040212 20040212155820 ACCESSION NUMBER: 0000703701-04-000015 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040212 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SUCKOW PAUL EDWARD CENTRAL INDEX KEY: 0001193474 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10873 FILM NUMBER: 04591631 MAIL ADDRESS: STREET 1: 1219 DENBIGN LANE CITY: RADNOR STATE: PA ZIP: 19087 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 0 0000703701 ASCENT ASSURANCE INC AASR 0001193474 SUCKOW PAUL EDWARD 1219 DENBIGH LANE RADNOR PA 19087 1 0 0 0 Common Stock Options 0.65 2002-03-24 5 A 0 22500 0.65 A 2002-03-24 2005-03-24 Common Stock 22500 22500 D Paul E Suckow 2004-01-23 -----END PRIVACY-ENHANCED MESSAGE-----