-----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, WmBZaCow23H06tMD2c0KTt9ebe1ppAdPCMeKTyVd5xA78/eV0Emu62Ow7Oqr8nXB WV0xGcy4EWvvJJMqdfgXMg== /in/edgar/work/0001013698-00-000015/0001013698-00-000015.txt : 20000712 0001013698-00-000015.hdr.sgml : 20000712 ACCESSION NUMBER: 0001013698-00-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000630 FILED AS OF DATE: 20000711 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SYMONS INTERNATIONAL GROUP INC CENTRAL INDEX KEY: 0001013698 STANDARD INDUSTRIAL CLASSIFICATION: [6331 ] IRS NUMBER: 351707115 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-29042 FILM NUMBER: 671046 BUSINESS ADDRESS: STREET 1: 4720 KINGSWAY DRIVE CITY: INDIANAPOLIS STATE: IN ZIP: 46205 BUSINESS PHONE: 3172596400 MAIL ADDRESS: STREET 1: 4720 KINGSWAY DRIVE CITY: INDIANAPOLIS STATE: IN ZIP: 46205 COMPANY DATA: COMPANY CONFORMED NAME: GORAN CAPITAL INC CENTRAL INDEX KEY: 0000925600 STANDARD INDUSTRIAL CLASSIFICATION: [6331 ]OWNER IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 181 UNIVERSITY AVE - STE 1101 STREET 2: BOX 11 CITY: TORONTO ONTARIO CANA STATE: A6 BUSINESS PHONE: 4165941155 MAIL ADDRESS: STREET 1: 4720 KINGSWAY DRIVE CITY: INDIANAPOLIS STATE: IN ZIP: 46205 4 1 0001.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 Symons International Group, Inc. STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP: ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1 (b). 1. Name and Address of Reporting Goran Capital, Inc. 2 Eva Road, Suite 201 Etobicoke, Ontario Canada M9C 2A8 Canada 2. Issuer Name and Ticker or Trading Symbol Symons International Group, Inc. SGIC 3. IRS or Social Security Number of Reporting Person (Voluntary) 000-00-0000 4. Statement for Month/Year 6/00 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person (s) to Issuer (Check all applicable) ( ) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (Specify Below) Deputy Chairman 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 2. 4. Securities acquired (A) or 5. Amount of Securities 6. Direct 7. Nature of Security 3. Disposed of (D) Benefically Owned at End of (D) or Indirect Transactions Month Indirect (I) Beneficial Ownership Date Code V Amount A/D Price Common 6/02/00 P 8,100 A .719 6/05/00 P 1,000 A .703 6/06/00 P 1,000 A .688 6/07/00 P 9,400 A .719 6/08/00 P 9,400 A .784 6/09/00 P 9,400 A .895 6/12/00 P 10,700 A .904 6/13/00 P 10,700 A 1.070 6/14/00 P 9,300 A 1.125 6/14/00 P 1,400 A 1.188 6/15/00 P 6,000 A 1.281 6/15/00 P 4,700 A 1.322 7,190,400 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title 2. Conversion 3. 4. 5. Number of Derivative 6. Date Exercisable 7.Title and Amount 8. Price 9. Number of of Security of Exercise Transaction Securities Acquired and Expiration of Underlying of Derivative Price of (A) or Disposed (D) Date (Month/Day/ Securities Derivative Securities Derivative Year) Security Benefically Owned at End of Month Date Code V Amount A/D Date Expiration Title and Number Exercis. on Date of Shares - ------------------------------- Alan G. Symons President and Chief Executive Officer Goran Capital, Inc.
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