-----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, WF7AslYAx+Jjk8lhknQ8Cxuf+5nlj4Wx8EtV9JpFKaP2vxlUBsHc+eNioLxb+fhl T6hJ7FcWrC1SFOLgBrR9FA== 0000703701-04-000018.txt : 20040212 0000703701-04-000018.hdr.sgml : 20040212 20040212173952 ACCESSION NUMBER: 0000703701-04-000018 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: KOBER KONRAD H CENTRAL INDEX KEY: 0001278586 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10873 FILM NUMBER: 04593132 MAIL ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801 CHERRY 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 0001278586 KOBER KONRAD H 3100 BURNETT PLAZA 801 CHERRY STREET UNIT 33 FORT WORTH TX 76102 0 1 0 0 Sr. VP Administration Common Stock 1999-04-14 5 J 0 19 0 A 19 D Common Stock 7631 I 401(k) Plan Common Stock Options 0.01 1999-06-16 5 A 0 28000 0.01 A 2002-03-24 2009-03-24 Common Stock Options 28000 28000 D Common Stock Options 4.39 1999-06-16 5 A 0 28000 4.39 A 2003-03-24 2009-03-24 Common Stock Options 28000 28000 D Common Stock Options 4.39 1999-06-16 5 A 0 19000 4.39 A 2004-03-24 2009-03-24 Common Stock Options 19000 19000 D Common Stock Warrants 9.04 1999-04-14 5 J 0 101 9.04 A 1999-04-14 2004-04-14 Common Stock Warrants 101 101 D Konrad H Kober 2004-01-26 -----END PRIVACY-ENHANCED MESSAGE-----