-----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, ECbytDUFz6snlVzup0biVB9tOBeWej9OXSuI2XMpkyvKUZxJkrm13q4/2UTUBkiY 0qpc5/B6CGAJ5mHiwOmVNQ== 0000897069-04-001086.txt : 20040527 0000897069-04-001086.hdr.sgml : 20040527 20040527171629 ACCESSION NUMBER: 0000897069-04-001086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040525 FILED AS OF DATE: 20040527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRIDGES JAMES W MD CENTRAL INDEX KEY: 0001180811 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11983 FILM NUMBER: 04835858 MAIL ADDRESS: STREET 1: 225 WATER ST STREET 2: STE 1400 CITY: JACKSONVILLE STATE: FL ZIP: 32202-1547 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FPIC INSURANCE GROUP INC CENTRAL INDEX KEY: 0001010247 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 593359111 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 225 WATER ST STREET 2: STE 1400 CITY: JACKSONVILLE STATE: FL ZIP: 32202 BUSINESS PHONE: 9043545910 MAIL ADDRESS: STREET 1: P O BOX 44033 CITY: JACKSONVILLE STATE: FL ZIP: 32231 4 1 dkm238_ex.xml X0202 4 2004-05-25 0 0001010247 FPIC INSURANCE GROUP INC FPIC 0001180811 BRIDGES JAMES W MD 225 WATER STREET SUITE 1400 JACKSONVILLE FL 32202 1 0 0 0 Common Stock 2004-05-26 4 M 0 5000 8.22 A 9000 D Common Stock 2004-05-26 4 M 0 5000 10.00 A 14000 D Common Stock 2004-05-26 4 S 0 10000 26.3875 D 4000 D Director Stock Options (Stock Option Plan right to buy) 8.22 2004-05-25 4 X 0 5000 0 D 1996-01-13 2006-01-13 Common Stock 5000 0 D Director Stock Options (Stock Option Plan right to buy) 10.00 2004-05-25 4 X 0 5000 0 D 1996-08-01 2006-08-01 Common Stock 5000 0 D Pursuant to Director Stock Option Plan. One-third exercisable on 01/13/97, 01/13/98 and 01/13/99. One-third exercisable on 08/01/97, 08/01/98 and 08/01/99. /s/ Roberta Goes Cown, Power of Attorney 2004-05-27 -----END PRIVACY-ENHANCED MESSAGE-----