-----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, O4nc+magqaXfCmLwSsI9uYRE+7Xj/ut8NUMgtl+T2JxBd8VziMaGiSAL4gYcb7Rn XU00QvxEP9xNRi43JgvUbw== 0001017633-05-000002.txt : 20050113 0001017633-05-000002.hdr.sgml : 20050113 20050113113809 ACCESSION NUMBER: 0001017633-05-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050113 DATE AS OF CHANGE: 20050113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATRICK THOMAS H CENTRAL INDEX KEY: 0001017633 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 05527410 BUSINESS ADDRESS: BUSINESS PHONE: 1376369800 MAIL ADDRESS: STREET 1: C/O BALDWIN & LYONS INC STREET 2: 1099 NORTH MERIDIAN STREET CITY: INDIANAPOLIS STATE: IN ZIP: 46204 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BALDWIN & LYONS INC CENTRAL INDEX KEY: 0000009346 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 350160330 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1099 N MERIDIAN ST STREET 2: STE 700 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3176369800 MAIL ADDRESS: STREET 1: 1099 NORTH MERIDIAN ST STREET 2: STE 700 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 FORMER COMPANY: FORMER CONFORMED NAME: BALDWIN H C AGENCY INC DATE OF NAME CHANGE: 19720309 5 1 edgar.xml PRIMARY DOCUMENT X0202 5 2004-12-31 0 0 0000009346 BALDWIN & LYONS INC BWINA / B 0001017633 PATRICK THOMAS H 199 EAST LAKE SHORE DRIVE - 7E CHICAGO IL 60611 1 0 0 0 Class A Common Stock 52500 D Class A Common Stock 36375 I Owned by wife of reporting person Class B Common Stock 8876 D Class B Common Stock 750 I Owned by wife of reporting person Class B Common Stock 236862 I Owned by a private foundation Right to buy (option) 1.00 2005-01-03 2014-10-02 Class B Common 815 815 D Right to buy (option) 26.00 2004-05-04 5 A 0 1500 26.00 A 2005-05-05 2011-05-04 Class B Common 1500 1500 D Reporting person disclaims beneficial ownership of these shares. Shares owned by the foundation were donated by the Reporting Person and his wife. Reporting Person is an officer and director of the foundation but has no pecuniary interest in the operations of the foundation and disclaims beneficial ownership of these shares. Options become exercisable one year from the date of issuance and expire ten years and one day from the date of issuance. Options previously reported on Forms 4 and 5 have expiration dates ranging from January 3, 2014 through October 2, 2014. The price paid for the options was equal to and in lieu of cash directors fees. Thomas H. Patrick by G. Patrick Corydon under power of attorney 2005-01-13 -----END PRIVACY-ENHANCED MESSAGE-----