-----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, QmfwWqyo9IceGHmlv/cqhHsEAopXGBMdR79fcpBjjkt5s4vaaqp3Y7pyk0v9EEu0 FNuGCjOeypAAgAZOecYoiw== 0001040487-99-000001.txt : 19990215 0001040487-99-000001.hdr.sgml : 19990215 ACCESSION NUMBER: 0001040487-99-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990212 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: 5 SEC ACT: SEC FILE NUMBER: 001-09250 FILM NUMBER: 99535452 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: MURRAY DENNIS E SR CENTRAL INDEX KEY: 0001040487 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 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 5 1 FORM 5 - DECEMBER 31, 1998 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person Murray, Sr., Dennis E. 111 East Shoreline Drive Sandusky, OH 44870 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 December 31, 1998 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Reporting (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 | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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 |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice 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 | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Options to Purchase (2)|$50.69 |5/14/|A |5,000 |A |(2) |5/13/|Common Stock|5,000 | |5,000 |D | | | |98 | | | | |08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase (3)| | | | | | | | | | |55,000 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (4) |1-for-1 |3/31/|A |724 |A |(4) |(4) |Common Stock|724 | | |D | | | |98 | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (4) |1-for-1 |4/1/9|A |14.4 |A |(4) |(4) |Common Stock|14.4 | | |D | | | |8 | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (4) |1-for-1 |7/1/9|A |13.4 |A |(4) |(4) |Common Stock|13.4 | | |D | | | |8 | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (4) |1-for-1 |10/1/|A |24.4 |A |(4) |(4) | Common Stoc|24.4 | | |D | | | |98 | | | | | |k | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (4) |1-for-1 |1/4/9|A |24.4 |A |(4) |(4) |Common Stock|24.4 | |5,299 |D | | | |9 | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units (5) | | | | | | | | | | |1,788 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
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) Granted under the Conseco, Inc. 1994 Stock and Incentive Plan. The options become exercisable in five equal annual installments beginning May 14, 1999. (3) Represents stock options held by the reporting person as previously reported. (4) Granted under the Conseco, Inc. 1994 Stock and Incentive Plan. (5) Represents common stock units conditionally awarded under the Issuer's Executive Deferred Compensation Program as previously reported. SIGNATURE OF REPORTING PERSON /s/Dennis E. Murray, Sr. by Karl W. Kindig, Attorney-in-Fact DATE February 12, 1999 -----END PRIVACY-ENHANCED MESSAGE-----