FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
|
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
UNITED FIRE & CASUALTY CO [ UFCS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2009 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 05/20/2009 | J4(1) | 442,300(2)(3) | A | $0.00 | 448,860(4) | I | By self as co-trustee of company defined benefit pension plan and emplyee stock ownership plan |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. Effective the date of this transaction, Mr. Wilkins became co-trustee of the Company's defined benefit pension plan and co-trustee of the Company's employee stock ownership plan. |
2. On the date of this transaction the Company's defined benefit pension plan held 202,058 shares of Company common stock. Mr. Wilkins disclaims beneficial ownership of these securities. None of the shares in this plan are allocated to Mr. Wilkins' individual account. Mr. Wilkins will receive a pension benefit from the plan. This report shall not be deemed an admission that the Mr. Wilkins is the beneficial owner of such securities for purposes of Section 16 or any other purpose. |
3. On the date of this transaction, the Company's employee stock ownership plan held 241,741 shares of Company common stock. 1,499 shares held in this plan are allocated to Mr. Wilkins' individual account. Mr. Wilkins disclaims beneficial ownership of all shares that are not allocated to his individual account, and this report shall not be deemed an admission that Mr. Wilkins is the beneficial owner of such securities for purposes of Section 16 or any other purpose. |
4. The number of securities beneficially held includes: 2,748 shares held in a brokerage account by Mr. Wilkins; 2,313 shares of restricted stock issued under the Company's 2008 Stock Plan, which vest, subject to certain conditions, on 05/21/2013; 202,058 shares held in the Company's defined benefit pension plan, for which Mr Wilkins serves as one of two co-trustees; and 241,741 shares held in the Company's employee stock ownership plan, for which Mr. Wilkins serves as one of two co-trustees, and of which only 1,499 of the shares held in this plan are allocated for Mr. Wilkins' benefit. |
Remarks: |
/s/ Michael T. Wilkins by Dianne M. Lyons, Attorny-in-Fact | 02/12/2010 | |
** 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 4 (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. |