SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Hall Melissa J T

(Last) (First) (Middle)
C/O ASSURANT, INC.
ONE CHASE MANHATTAN PLAZA

(Street)
NEW YORK NY 10005

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/01/2005
3. Issuer Name and Ticker or Trading Symbol
ASSURANT INC [ AIZ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 1,244.3663 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Appreciation Right 12/31/2005 01/01/2013 Common Stock 4,565.45 $22 D
Stock Appreciation Right 12/31/2006 01/01/2014 Common Stock 4,091 $22 D
Stock Appreciation Right 12/31/2007 06/30/2010 Common Stock 5,125 $35.64 D
Stock Appreciation Right 02/04/2005 01/01/2009 Common Stock 71.94 $36.74 D
Stock Appreciation Right 02/04/2005 01/01/2010 Common Stock 86.33 $33.36 D
Stock Appreciation Right 02/04/2005 01/01/2011 Common Stock 179.86 $32.51 D
Stock Appreciation Right 02/04/2005 01/01/2011 Common Stock 192.5 $30.11 D
Stock Appreciation Right 02/04/2005 01/01/2011 Common Stock 159.48 $36.33 D
Stock Appreciation Right 02/04/2005 01/01/2012 Common Stock 266.19 $22.88 D
Stock Appreciation Right 02/04/2005 01/01/2012 Common Stock 197.14 $30.83 D
Stock Appreciation Right 02/04/2005 01/01/2012 Common Stock 125.77 $48.08 D
Stock Appreciation Right 12/31/2005 01/01/2013 Common Stock 251.81 $25.08 D
Stock Appreciation Right 12/31/2005 01/01/2013 Common Stock 190.18 $33.45 D
Stock Appreciation Right 12/31/2005 01/01/2013 Common Stock 150.4 $42.43 D
Stock Appreciation Right 12/31/2005 01/01/2013 Common Stock 293.03 $21.89 D
Stock Appreciation Right 12/31/2006 01/01/2014 Common Stock 280.58 $26.56 D
Stock Appreciation Right 12/31/2006 01/01/2014 Common Stock 238.89 $31.3 D
Stock Appreciation Right 12/31/2006 01/01/2014 Common Stock 226.9 $33.13 D
Stock Appreciation Right 12/31/2006 01/01/2014 Common Stock 261.63 $28.26 D
Explanation of Responses:
Remarks:
Lisa Richter Attorney-in-Fact 08/11/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.