0001140361-11-057747.txt : 20111216 0001140361-11-057747.hdr.sgml : 20111216 20111216102353 ACCESSION NUMBER: 0001140361-11-057747 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111214 FILED AS OF DATE: 20111216 DATE AS OF CHANGE: 20111216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moody-Dahlberg Frances A CENTRAL INDEX KEY: 0001467142 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34411 FILM NUMBER: 111265071 MAIL ADDRESS: STREET 1: 850 E. ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL WESTERN LIFE INSURANCE CO CENTRAL INDEX KEY: 0000070684 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 840467208 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 850 E. ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752-1602 BUSINESS PHONE: 5128361010 MAIL ADDRESS: STREET 1: 850 E. ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752-1602 4 1 doc1.xml FORM 4 X0304 4 2011-12-14 0 0000070684 NATIONAL WESTERN LIFE INSURANCE CO NWLI 0001467142 Moody-Dahlberg Frances A 850 E ANDERSON LANE AUSTIN TX 78752 1 0 0 0 Class A Common Stock 1850 D Class A Common Stock 625 I Trust Class B Common Stock 482 I Trust Stock Appreciation Rights 132.56 2011-12-14 4 A 0 1000 0 A 2012-12-14 2021-12-14 Class A Common Stock 1000 0 D Stock Appreciation Rights 114.64 2010-02-19 2019-02-19 Class A Common Stock 1000 0 D Non Qualified Stock Options 208.05 2009-06-20 2018-06-20 Class A Common Stock 1000 0 D Non Qualified Stock Options 150 2005-06-25 2014-06-25 Class A Common Stock 1000 0 D The SARs are exercisable as they vest. The SARs vest in five equal annual installments beginning on the Date Exercisable. The options are exercisable as they vest. The options vest in five equal annual installments beginning on the Date Exercisable. Frances A. Moody-Dahlberg 2011-12-16