5 1 hls50202.txt FORM 5 FOR 2001 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) SLONEKER III, HOWARD L 7 LITTLE CREEK LANE GLENDALE, OH 45246 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 12/01 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) Sr. Vice President & Secretary Director 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 432,288 D Direct Common Stock 5,846 I Employee Savings Pln Common Stock 119 I Spouse as custodian Common Stock 575 I Supplemental ESP Common Stock 2,432 I by Daughter Common Stock 2,432 I by Son Common Stock 2,432 I by Spouse Common Stock 796,826 I by Trust 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) Non-Qualified Stock Option $8.9900 06/01/01 A 31,000 06/01/11 (right to buy) Non-Qualified Stock Option $12.3750 02/28/01 02/28/10 (right to buy) Non-Qualified Stock Option $13.1250 03/23/01 03/23/10 (right to buy) Non-Qualified Stock Option $17.5000 01/23/97 01/23/06 (right to buy) Non-Qualified Stock Option $20.3438 02/18/00 02/18/09 (right to buy) Non-Qualified Stock Option $20.6875 02/20/98 02/20/07 (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 11,428 11,428 D Direct to buy) Incentive Stock Option (right Common Stock 14,740 14,740 D Direct to buy) Non-Qualified Stock Option 06/01/01 Common Stock 31,000 31,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 15,000 15,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 15,000 15,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,906 1,906 D Direct (right to buy) Non-Qualified Stock Option Common Stock 9,260 9,260 D Direct (right to buy) Non-Qualified Stock Option Common Stock 20,000 20,000 D Direct (right to buy) Non-Qualified Stock Option Common Stock 20,000 20,000 D Direct (right to buy) Explanation of Responses:
SIGNATURE OF REPORTING PERSON /S/ SLONEKER III, HOWARD L DATE 01/29/02