-----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, QfMdd3naWnzpM26nErIUDVEU3Ge5wcETfzcLTC/0pi0UpGp/WyZLB2y1XSjwHcG+ F4s6K6la7G/aHzHfPioKJw== 0000703701-04-000016.txt : 20040212 0000703701-04-000016.hdr.sgml : 20040212 20040212162333 ACCESSION NUMBER: 0000703701-04-000016 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: ONEILL PATRICK H CENTRAL INDEX KEY: 0001278689 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10873 FILM NUMBER: 04591964 MAIL ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801CHERRY STREET, UNIT 33 CITY: FORT WORTH STATE: TX ZIP: 76102 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 0 0000703701 ASCENT ASSURANCE INC AASR 0001278689 ONEILL PATRICK H 3100 BURNETT PLAZA 801CHERRY STREET, UNIT 33 FORT WORTH TX 76102 0 1 0 0 Exec.VP, Gen. Counsel & Sec. Common Stock 1999-03-24 5 A 0 13650 0 A 13650 D Common Stock 9600 I 401(k) Plan Common Stock Options 0.01 1999-06-16 5 A 0 60000 0.01 A 2002-03-24 2009-03-24 Common Stock 60000 60000 D Common Stock Options 4.39 1999-06-16 5 A 0 60000 4.39 A 2003-03-24 2009-03-24 Common Stock 60000 60000 D Common Stock Options 4.39 1999-06-16 5 A 0 40000 4.39 A 2004-03-24 2009-03-24 Common Stock 40000 40000 D Patrick H O'Neill 2004-01-21 -----END PRIVACY-ENHANCED MESSAGE-----