-----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, MswHvWRSIpJqAFYkydJwn6bH/ltomxXiSlkc85rTAwMkIVcJXoQwEdqA7xOApxen 3RigFR9r6t7kbWWSag88ug== 0001017635-04-000001.txt : 20040113 0001017635-04-000001.hdr.sgml : 20040113 20040113073606 ACCESSION NUMBER: 0001017635-04-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040113 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAPIRO ROBERT CENTRAL INDEX KEY: 0001017635 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 04521666 BUSINESS ADDRESS: STREET 1: C/O BALDWIN & LYONS INC STREET 2: 1099 NORTH MERIDIAN STREET CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 1376369800 MAIL ADDRESS: STREET 1: C/O BALDWIN & LYONS INC STREET 2: 1099 NORTH MERIDIAN STREET CITY: INDIANAPOLIS STATE: IN ZIP: 46204 5 1 edgar.xml PRIMARY DOCUMENT X0201 52003-12-31 0 0 0000009346 BALDWIN & LYONS INC BWINA / B 0001017635 SHAPIRO ROBERT 71 RED OAK LANE HIGHLAND PARK IL 60035 1010Class A common110250DClass A common397875IVarious Class B common34438DClass B common1438500IVarious Right to buy (option)1.001998-07-022012-10-02Class B Common37573757DRight to buy (option)1.002003-01-025A024918.07A2004-01-022013-01-03Class B coommon249249DRight to buy (option)1.002003-04-015A023918.83A2004-04-012013-04-02Class B coommon239239DRight to buy (option)1.002003-07-015A019023.68A2004-07-012013-07-02Class B coommon190190DRight to buy (option)1.002003-10-015A020122.38A2004-10-012013-10-02Class B common201201DOwned by (a) New Horizons, Inc., (42,750 shares of Class A and 46,000 shares of class B) of which the undersigned is controlling stockholder; (b) Illinois Diversified, (21,375 shares of Class A and 85,500 s hares of Class B) a general partnership as to which beneficial ownership is held by the undersigned; and (c) NS Associates, Inc., (173,062 shares of Class A and 506,625 shares of Class B) of which the undersigned is the controlling shareholder.Options become exercisable one year from the date of issuance and expire ten years and one day from the date of issuance. Exercise price for all options was $1.00 per share on the date of grant. For options previously reported on Forms 4 and 5, the expiration dates range from July 2, 2007 to October 2, 2012. The price paid for the options was equal to and in lieu of directors fees in the amount of $3,000 to $4,500 per quarter.The price paid for the options was equal to and in lieu of directors fees in the amount of $4,500 per quarter.All share data has been adjusted to reflect the 5 for 4 stock split effective February, 2003.G. Patrick Corydon on behalf of Robert Shapiro2004-01-13 -----END PRIVACY-ENHANCED MESSAGE-----