-----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, LFMvwpDg9iMmJeBzvWZ1cYJaIxzmF1XcTEgQwutpAZXjDUjCoBkwmYGgOCxaj3wZ YpI0Ec+Qw4jaT3ftj+uKEg== 0001140361-09-019980.txt : 20090831 0001140361-09-019980.hdr.sgml : 20090831 20090831151022 ACCESSION NUMBER: 0001140361-09-019980 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090827 FILED AS OF DATE: 20090831 DATE AS OF CHANGE: 20090831 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UTG INC CENTRAL INDEX KEY: 0000832480 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 202907892 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PO BOX 5147 STREET 2: 5250 SOUTH SIXTH STREET ROAD CITY: SPRINGFIELD STATE: IL ZIP: 62703 BUSINESS PHONE: 2173236300 MAIL ADDRESS: STREET 1: PO BOX 5147 STREET 2: 5250 SOUTH SIXTH STREET CITY: SPINGFIELD STATE: IL ZIP: 62705 FORMER COMPANY: FORMER CONFORMED NAME: UNITED TRUST GROUP INC DATE OF NAME CHANGE: 20001206 FORMER COMPANY: FORMER CONFORMED NAME: UNITED TRUST INC /IL/ DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FIRST SOUTHERN BANCORP INC CENTRAL INDEX KEY: 0000894355 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16867 FILM NUMBER: 091045796 BUSINESS ADDRESS: STREET 1: P O BOX 328 STREET 2: 99 LANCASTER STREET CITY: STANFORD STATE: KY ZIP: 40484 BUSINESS PHONE: 6063653555 MAIL ADDRESS: STREET 1: PO BOX 328 STREET 2: 99 LANDCASTER STREET CITY: STANFORD STATE: KY ZIP: 40484 4 1 doc1.xml FORM 4 X0303 4 2009-08-27 0 0000832480 UTG INC UTGN.OB 0000894355 FIRST SOUTHERN BANCORP INC P O BOX 328 STANFORD KY 40484 0 0 1 0 Common Stock 2009-08-27 4 S 0 20000 10.00 D 229069 D Common Stock 2009-08-27 4 S 0 80000 10.00 D 1277716 I First Southern Holdings, LLC Call Option (obligation to sell) 10.00 2009-08-27 4 S 0 100000 D 2009-08-27 2011-08-27 Common Stock 100000 100000 D Call Option (obligation to sell) 10.00 2009-08-27 4 S 0 100000 D 2009-08-27 2012-08-27 Common Stock 100000 100000 D Call Option (obligation to sell) 10.00 2009-08-27 4 S 0 100000 D 2009-08-27 2011-08-27 Common Stock 100000 100000 I First Southern Holdings, LLC Call Option (obligation to sell) 10.00 2009-08-27 4 S 0 100000 D 2009-08-27 2012-08-27 Common Stock 100000 100000 I First Southern Holdings, LLC On August 27, 2009, First Southern Bancorp, Inc. (FSB) and First Southern Holdings, LLC (FSH), individually and collectively, granted call options under which a total of 200,000 shares of the Issuer's common stock may be purchased. If the options are exercised, FSB and FSH, in their sole discretion, may determine the number of shares each of them will sell to the exercising optionee, up to the full 200,000 optioned shares. This call option was granted without the payment of any premium concurrently with the optionees' purchase of additional shares of the Issuer's common stock, as reflected on Table I. Jill Martin, Secretary 2009-08-31 -----END PRIVACY-ENHANCED MESSAGE-----