-----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, EMeeGnQYmx4BZ6kwDjxgvQXnNmGRIpDtMH123IzNCdJEUB5cIaGqyxNhYBNYHQp2 S187Z/BnLWXsAW5id8Dpzw== 0001128311-01-500002.txt : 20010213 0001128311-01-500002.hdr.sgml : 20010213 ACCESSION NUMBER: 0001128311-01-500002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010212 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OHIO CASUALTY CORP CENTRAL INDEX KEY: 0000073952 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 310783294 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-05544 FILM NUMBER: 1534651 BUSINESS ADDRESS: STREET 1: 9450 SEWARD ROAD CITY: FAIRFIELD STATE: OH ZIP: 45014 BUSINESS PHONE: 5136032600 MAIL ADDRESS: STREET 1: 9450 SEWARD ROAD CITY: FAIRFIELD STATE: OH ZIP: 45014 COMPANY DATA: COMPANY CONFORMED NAME: RICZKO ELIZABETH M CENTRAL INDEX KEY: 0001128311 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: OHIO CASUALTY CORP STREET 2: 9450 SEWARD ROAD CITY: FAIRFIELD STATE: OH ZIP: 45014 BUSINESS PHONE: 5136032600 MAIL ADDRESS: STREET 1: OHIO CASUALTY CORP STREET 2: 9450 SEWARD ROAD CITY: FAIRFIELD STATE: OH ZIP: 45014 5 1 emr52000.txt 2000 ANNUAL 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. [ ] Form 3 Holdings Reported [ ] Form 4 Transactions Reported 1. Name and Address of Reporting Person(s) RICZKO, ELIZABETH M 3382 STAHLHEBER ROAD HAMILTON, OH 45013 2. Issuer Name and Ticker or Trading Symbol Ohio Casualty Corporation (OCAS) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Year 12/00 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Senior Vice President 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)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code Amount D Price End of Year I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 1,706 D Direct Common Stock 86 I by Spouse Common Stock 448 I by Spouse -ESP Common Stock 1,915 I Employee Savings Pln Common Stock 136 I Supplemental ESP Table II (PART 1) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code A D Exercisable Expiration - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right $17.5000 01/23/97 01/23/06 to buy) Incentive Stock Option (right $20.3438 02/18/00 02/18/09 to buy) Incentive Stock Option (right $20.6875 02/20/98 02/20/07 to buy) Incentive Stock Option (right $23.4688 02/18/99 02/19/08 to buy) Non-Qualified Stock Option $12.3750 02/29/00 A 15,000 02/28/01 02/28/10 (right to buy) Non-Qualified Stock Option $20.3438 02/18/00 02/18/09 (right to buy) Non-Qualified Stock Option $23.4688 02/19/99 02/19/08 (right to buy) Table II (PART 2) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Year - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right Common Stock 6,000 6,000 D Direct to buy) Incentive Stock Option (right Common Stock 5,160 5,160 D Direct to buy) Incentive Stock Option (right Common Stock 6,000 6,000 D Direct to buy) Incentive Stock Option (right Common Stock 3,018 3,018 D Direct to buy) Non-Qualified Stock Option 02/29/00 Common Stock 15,000 15,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 18,840 18,840 D Direct (right to buy) Non-Qualified Stock Option Common Stock 2,982 2,982 D Direct (right to buy) Explanation of Responses:
SIGNATURE OF REPORTING PERSON /S/ RICZKO, ELIZABETH M DATE 2/1/01 -----END PRIVACY-ENHANCED MESSAGE-----