-----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, PKqwwKeM/SoRstvSpC23nIEvSATVT2tUIBammMRw2GPT6ehHs3/7W8uvZVB1wn7F YAydgaOXmDFHkhnUBTHBIQ== 0000703701-05-000007.txt : 20050210 0000703701-05-000007.hdr.sgml : 20050210 20050210182707 ACCESSION NUMBER: 0000703701-05-000007 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050210 DATE AS OF CHANGE: 20050210 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: 05594542 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 X0202 5 2004-12-31 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) 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 Options 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 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----