SEC Form 5 · accession 0000101199-16-000411
UNITED FIRE GROUP INC · UFCS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas M Hultquist
Director
Period of report
Dec 31, 2015
Accepted (ET)
Feb 12, 2016 · 11:05 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000101199
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 7,726 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF2 | — | holding | — | — | — | — | — | Common Stock | 2,191 | 2,191 | D |
| Stock Option (right to buy)F3 | $22.46 | holding | — | — | — | — | May 19, 2020 | Common Stock | 2,727 | 2,727 | D |
| Stock Option (right to buy)F3 | $33.78 | holding | — | — | — | — | May 21, 2018 | Common Stock | 3,000 | 3,000 | D |
| Stock Option (right to buy)F4 | $21.095 | holding | — | — | — | — | May 16, 2022 | Common Stock | 2,145 | 2,145 | D |
| Stock Option (right to buy)F5 | $28.925 | holding | — | — | — | — | May 15, 2023 | Common Stock | 1,755 | 1,755 | D |
| Stock Option (right to buy)F6 | $20.40 | holding | — | — | — | — | Feb 18, 2021 | Common Stock | 2,727 | 2,727 | D |
| Stock Option (right to buy)F3 | $29.28 | holding | — | — | — | — | Nov 16, 2017 | Common Stock | 2,000 | 2,000 | D |
Explanation of responses
- F1The number of shares beneficially held directly by the Reporting Person includes: 5431 shares held by Mr. Hultquist individually and shares of restricted stock issued to Mr. Hultquist under the Issuer's Non-Qualified Non-Employee Director Stock Option and Restricted Stock Plan, including 857 shares that vest in equal installments on 5/21/2016 and 5/21/2017, and 1438 shares that vest in equal installments on 5/20/2016, 5/20/2017 and 5/20/2018.
- F2Each share of phantom stock is the economic equivalent of one share of the Issuer's common stock. The shares of phantom stock become payable, in cash, in one lump sum or prorated over five years, at the election of the Reporting Person, upon the Reporting Person's termination of service as a director.
- F3All options currently exercisable.
- F41287 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/16/2016 and 5/16/2017, respectively.
- F5702 options currently exercisable. Remaining options become vested and exercisable in equal installments on 5/15/2016, 5/15/2017 and 5/15/2018, respectively.
- F62182 options currently exercisable. Remaining options become vested and exercisable on 02/18/2016.