-----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, MiiKUe8tj/cjucKfiHRG8NI7l1qacaI1t+iGUXHazv/DjZXRP9LUn+MpA8AN0x7g Kgi6WF9WXgIDU8w3IXQw7g== 0001058672-98-000001.txt : 19980410 0001058672-98-000001.hdr.sgml : 19980410 ACCESSION NUMBER: 0001058672-98-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980331 FILED AS OF DATE: 19980409 SROS: NYSE 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: 3 SEC ACT: SEC FILE NUMBER: 001-09250 FILM NUMBER: 98590719 BUSINESS ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 3175736100 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: KILIAN THOMAS J CENTRAL INDEX KEY: 0001058672 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST STREET 2: C/O CONSECO SERVICES LLC CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 3178176100 MAIL ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST STREET 2: C/O CONSECO SERVICES LLC CITY: CARMEL STATE: IN ZIP: 46032 3 1 FORM 3 - MARCH 31, 1998 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Kilian, Thomas J. 11825 N. Pennsylvania Street Carmel, IN 46032 2. Date of Event Requiring Statement (Month/Day/Year) March 31, 1998 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol Conseco CNC 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Executive Vice President and Chief Operations Officer 6. If Amendment, Date of Original (Month/Day/Year) 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 Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect | | Securities | Form: | Beneficial Ownership | | Beneficially | Direct(D) or | | | Owned | Indirect(I) | | ___________________________________________________________________________________________________________________________________| Common Stock |149,128 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |3,202 |I |By 401(k) Plan | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect | Security | cisable and | of Underlying | |sion or |ship | Beneficial Ownership | | Expiration | Securities | |exercise |Form of | | | Date(Month/ |-----------------------|---------|price of |Deriv- | | | Day/Year) | |Amount |deri- |ative | | | Date | Expira- | |or |vative |Security: | | | Exer- | tion | Title |Number of|Security |Direct(D) or | | | cisable | Date | |Shares | |Indirect(I) | | ___________________________________________________________________________________________________________________________________| Options to Purchase |(1) |8/1/98 |Common Stock |968 |$1.56 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |8/14/98 |Common Stock |2,176 |$5.34 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |8/14/99 |Common Stock |2,176 |$5.34 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |8/5/98 |Common Stock |2,232 |$6.72 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |8/5/99 |Common Stock |2,232 |$6.72 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |8/5/00 |Common Stock |2,232 |$6.72 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |11/3/03 |Common Stock |60,000 |$14.09 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |11/4/98 |11/3/03 |Common Stock |60,000 |$14.09 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |11/4/99 |11/3/03 |Common Stock |60,000 |$14.09 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |11/4/00 |11/3/03 |Common Stock |60,000 |$14.09 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |11/4/01 |11/3/03 |Common Stock |60,000 |$14.09 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |6/7/98 |Common Stock |4,800 |$13.31 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |6/7/99 |Common Stock |4,800 |$13.31 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |6/7/00 |Common Stock |4,800 |$13.31 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |6/8/98 |6/7/01 |Common Stock |4,800 |$13.31 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/13/04 |Common Stock |3,896 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/13/04 |Common Stock |2,788 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/14/98 |12/13/04 |Common Stock |1,352 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/13/98 |Common Stock |4,800 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/13/99 |Common Stock |904 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/13/00 |Common Stock |2,012 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/14/98 |12/13/01 |Common Stock |3,448 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/14/99 |12/13/02 |Common Stock |4,800 |$10.47 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |8/25/98 |8/25/05 |Common Stock |4,000 |$12.06 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |8/25/99 |8/25/05 |Common Stock |2,000 |$12.06 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |8/25/00 |8/25/05 |Common Stock |2,000 |$12.06 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/13/99 |12/12/02 |Common Stock |1,792 |$14.30 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/13/00 |12/12/03 |Common Stock |4,800 |$14.30 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/12/05 |Common Stock |4,800 |$14.30 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/12/05 |Common Stock |4,800 |$14.30 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/13/98 |12/12/05 |Common Stock |4,800 |$14.30 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/13/99 |12/12/05 |Common Stock |3,008 |$14.30 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(1) |12/15/06 |Common Stock |2,400 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/16/98 |12/15/06 |Common Stock |2,400 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/16/99 |12/15/06 |Common Stock |2,400 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/16/00 |12/15/06 |Common Stock |2,162 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/16/00 |12/15/03 |Common Stock |238 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/16/01 |12/15/04 |Common Stock |2,400 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/19/01 |12/18/04 |Common Stock |628 |$43.00 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/19/02 |12/18/05 |Common Stock |1,500 |$43.00 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/19/00 |12/18/07 |Common Stock |3,000 |$43.00 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |12/19/01 |12/18/07 |Common Stock |872 |$43.00 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Options to Purchase |(2) |(3) |Common Stock |200,000 |$30.41 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Units |(4) |(4) |Common Stock |632 | |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) These options are currently exercisable. (2) The options will become exercisable in 2011 or 2016, but in the event of death or disability, 40% of the options will be exercisable if the Reporting Person remains employed until 1/1/02 and 100% will be exercisable if the Reporting Person remains employed until 1/1/08. (3) The options expire six months after they first become exercisable if the Reporting Person does not remain employed by the Issuer until age 60 and otherwise until one year after death. (4) Granted under the Conseco, Inc. Deferred Compensation Plan. SIGNATURE OF REPORTING PERSON /s/Thomas J. Kilian by Karl W. Kindig, Attorney-in-Fact DATE April 9, 1998 -----END PRIVACY-ENHANCED MESSAGE-----