-----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, Rr46cmbnSohtlAJYZ0F8UStoNV9PNKtBVhlkoL98oRR5foSpxJN9lR3+IH17722i mUbricDxOi2c3gBWYSezgw== 0000703701-05-000012.txt : 20050211 0000703701-05-000012.hdr.sgml : 20050211 20050211115002 ACCESSION NUMBER: 0000703701-05-000012 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050211 DATE AS OF CHANGE: 20050211 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: CUTLER BENJAMIN M CENTRAL INDEX KEY: 0001274957 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10873 FILM NUMBER: 05596181 BUSINESS ADDRESS: STREET 1: ONE CHASE MANHATTAN PLAZA STREET 2: 41TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10005 BUSINESS PHONE: 2128597000 5 1 primary_doc.xml PRIMARY DOCUMENT X0202 5 2004-12-31 0 0 0 0000703701 ASCENT ASSURANCE INC AASR 0001274957 CUTLER BENJAMIN M 3100 BURNETT PLAZA 801 CHERRY ST UNIT 33 FORT WORTH TX 76102 1 1 0 0 Chairman & CEO Common Stock Options 2014-09-01 Common Stock 5025619 D On September 1, 2004, Mr. Cutler was granted 5,025,619 shares of the Company's Common Stock, which will vest, (in the abscence of an "Early Exercise Date" as defined in the award agreement), in five equal installments on each of the first five anniversary dates of the option award. The exercise price of each option is equal to the fair market value of such shares, as determined by the Board of Directors in good faith based upon generally accepted industry evaluation methodologies, on the Early Exercise Date. Benjamin M Cutler 2005-02-09 -----END PRIVACY-ENHANCED MESSAGE-----