-----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, ORy1NNVwhVnyyQPfvdCQ+JYd9U3wX+78ZLno5joXu+PvzA6cRh2JWz0yblh/bZ1D DrYs16TXSihxxZ/yRUQPJg== 0001209191-09-057605.txt : 20091217 0001209191-09-057605.hdr.sgml : 20091217 20091217124507 ACCESSION NUMBER: 0001209191-09-057605 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091216 FILED AS OF DATE: 20091217 DATE AS OF CHANGE: 20091217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McCroskey Michael Wade CENTRAL INDEX KEY: 0001467681 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34280 FILM NUMBER: 091246678 MAIL ADDRESS: STREET 1: ONE MOODY PLAZA CITY: GALVESTON STATE: TX ZIP: 77550 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN NATIONAL INSURANCE CO /TX/ CENTRAL INDEX KEY: 0000904163 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 740484030 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE MOODY PLAZA, 14TH FL STREET 2: SEC UNIT - 8TH FLOOR CITY: GALVESTON STATE: TX ZIP: 77550 BUSINESS PHONE: 409-766-6480 MAIL ADDRESS: STREET 1: ONE MOODY PLZ CITY: GALVESTON STATE: TX ZIP: 77550 4 1 c93825_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2009-12-16 0000904163 AMERICAN NATIONAL INSURANCE CO /TX/ ANAT 0001467681 McCroskey Michael Wade ONE MOODY PLAZA GALVESTON TX 77550 0 1 0 0 EVP, Investments; Treasurer Common Stock 2009-12-16 4 M 0 1000 88.00 A 133 D Common Stock 2009-12-16 4 D 0 1000 115.82 D 133 D Stock Appreciation Right 88.00 2009-12-16 4 M 0 1000 0 D 2003-08-01 2012-08-01 Common Stock 1000 0 D SARs become exercisable in five equal annual installments beginning on the date shown. SARs expire five years from the date they become exercisable. The date shown represents the expiration date of the final installment of SARs to become exercisable. This Form 4 reflects a cash settlement of stock appreciation rights. The Reporting Person exercised 1000 stock appreciation rights with an exercise price of $88.00. /s/ Michael W. McCroskey 2009-12-17 -----END PRIVACY-ENHANCED MESSAGE-----