SEC Form 5 · accession 0000101199-16-000433
UNITED FIRE GROUP INC · UFCS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John A Rife
Other
Period of report
Dec 31, 2015
Accepted (ET)
Feb 12, 2016 · 1:26 pm 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 | — | — | — | 8,569 | I | See footnote #1 | |
| Common Stock | holding | — | — | — | 21,047 | 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 | 2,094 | 2,094 | D |
| Stock Option (right to buy)F3 | $39.13 | holding | — | — | — | — | Feb 17, 2016 | Common Stock | 20,000 | 20,000 | D |
| Stock Option (right to buy)F3 | $28.925 | holding | — | — | — | — | May 15, 2023 | Common Stock | 1,755 | 1,755 | D |
| Stock Option (right to buy)F3 | $34.39 | holding | — | — | — | — | Feb 15, 2018 | Common Stock | 3,000 | 3,000 | D |
| Stock Option (right to buy)F3 | $21.095 | holding | — | — | — | — | May 16, 2022 | Common Stock | 2,145 | 2,145 | D |
| Stock Option (right to buy)F3 | $35.23 | holding | — | — | — | — | Feb 16, 2017 | Common Stock | 20,000 | 20,000 | D |
| Stock Option (right to buy)F3 | $22.46 | holding | — | — | — | — | May 19, 2020 | Common Stock | 2,727 | 2,727 | D |
Explanation of responses
- F1The number of shares (excluding frationals) beneficially held indirectly by the Reporting Person includes: 6723 shares held in an individual retirement account for Mr. Rife's benefit; 1405 shares heldindividually by Mr. Rife's spouse; and 441 shares held in a SEP individual retirement account for Mr. Rife's benefit.
- 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.