-----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, W0yJjDXat3gC/+8mXmslJqwHDOG9dzEOB+wdi3vTjGeE8amQKka05M2DyAvp2ATl wj0SWKBB1vkn6/Nq43IQ0g== 0001290112-05-000001.txt : 20050113 0001290112-05-000001.hdr.sgml : 20050113 20050113112404 ACCESSION NUMBER: 0001290112-05-000001 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: Mills Jonathan CENTRAL INDEX KEY: 0001290112 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05534 FILM NUMBER: 05527358 BUSINESS ADDRESS: BUSINESS PHONE: 847-949-3003 MAIL ADDRESS: STREET 1: 1600 EASTWOOD CITY: HIGHLAND PARK STATE: IL ZIP: 60035 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 0001290112 Mills Jonathan 1600 EASTWOOD HIGHLAND PARK IL 60035 1 0 0 0 Class A Common 187 I Owned by daughter Class B Common 750 I Owned by daughter 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 Right to buy (option) 1.00 2004-07-01 5 A 0 239 25.19 A 2005-07-01 2014-07-02 Class B Common 239 239 D Right to buy (option) 1.00 2004-10-01 5 A 0 266 25.43 A 2005-10-01 2014-10-02 Class B Common 266 266 D Reporting person disclaims beneficial ownership of these shares. The price paid for the options was equal to and in lieu of directors fees. G. Patrick Corydon on behalf of Jonathan Mills, under power of attorney 2005-01-13 -----END PRIVACY-ENHANCED MESSAGE-----