0001140361-11-057775.txt : 20111216 0001140361-11-057775.hdr.sgml : 20111216 20111216113959 ACCESSION NUMBER: 0001140361-11-057775 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: Payne James Parker CENTRAL INDEX KEY: 0001464758 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34411 FILM NUMBER: 111265319 MAIL ADDRESS: STREET 1: 850 EAST 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 0001464758 Payne James Parker 850 E ANDERSON LANE AUSTIN TX 78752 0 1 0 0 Sr VP - Secretary Stock Appreciation Rights 132.56 2011-12-14 4 A 0 1000 0 A 2014-12-14 2021-12-14 Class A Common Stock 1000 0 D Stock Appreciation Rights 114.64 2012-02-19 2019-02-19 Class A Common Stock 1000 0 D Non Qualified Stock Options 255.13 2011-04-18 2018-04-18 Class A Common Stock 1000 0 D Non Qualified Stock Options 150 2009-04-23 2014-04-23 Class A Common Stock 1200 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. The options are exercisable as they vest. The options vest in three equal annual installments beginnin on the Date Exercisable. James P. Payne 2011-12-16