-----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, LrrtqoI58QedfjPuvEGCERm73M/kG76AMMsPNuVNZ4lZxcW68u+kJNZIWGb54zm9 PLApxa+WGzK74WfSsVWQQw== 0000945649-00-000002.txt : 20000207 0000945649-00-000002.hdr.sgml : 20000207 ACCESSION NUMBER: 0000945649-00-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000103 FILED AS OF DATE: 20000204 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CONSECO INC CENTRAL INDEX KEY: 0000719241 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 351468632 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-09250 FILM NUMBER: 523931 BUSINESS ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 3178176100 MAIL ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: SECURITY NATIONAL OF INDIANA CORP DATE OF NAME CHANGE: 19840207 COMPANY DATA: COMPANY CONFORMED NAME: HILBERT STEPHEN C CENTRAL INDEX KEY: 0000945649 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: VAIL RESORTS INC STREET 2: PO BOX 7 CITY: VAIL STATE: CO ZIP: 81658 BUSINESS PHONE: 9704765601 MAIL ADDRESS: STREET 1: VAIL RESORTS INC STREET 2: PO BOX 7 CITY: VAIL STATE: CO ZIP: 81658 4 1 FORM 4 - JANUARY 2000 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Hilbert, Stephen C. 11825 N. Pennsylvania Street Carmel, IN 46032 USA 2. Issuer Name and Ticker or Trading Symbol Conseco, Inc. (CNC) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year January 2000 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Chairman of the Board, President and Chief Executive Officer 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |1/3/00|M | |1,491,372 |A | | |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |1/3/00|F | |657,647 |D |$17.66 |8,476,410 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |5 |I |By Minor Child | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |221,261 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |98,822 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |1,120,000 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |200,000 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |60,000(1) |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |1,975,000 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |100,000 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |17,100 |I |By Trust | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | | |15 |I |By 401(k) Plan | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Stock Units (2) |1-for-1 |1/3/0|M | |1,410,006 |D |(2) |(2) |Common Stock|1,410,0| |0 |D | | | |0 | | | | | | | |06 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (3) |1-for-1 |1/3/0|M | |81,366 |D |(3) |(3) |Common Stock|81,366 | |273,358.4 |D | | | |0 | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. (2) Represents common stock units conditionally awarded under the Issuer's Executive Deferred Compensation Program. (3) Granted under the Conseco, Inc. 1994 Stock and Incentive Plan. SIGNATURE OF REPORTING PERSON /s/ Stephen C. Hilbert by Karl W. Kindig, Attorney-in-Fact DATE February 4, 2000 -----END PRIVACY-ENHANCED MESSAGE-----