-----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, Tc55uNRhwLaXO4Kesfx/LQKhacP5wTyVKP2cEads+Gm8PU7Hzg3oJ321+HAy0OOd kqxOwIil87KLhpaN5iVRjA== 0000897069-04-002102.txt : 20041208 0000897069-04-002102.hdr.sgml : 20041208 20041208140358 ACCESSION NUMBER: 0000897069-04-002102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041207 FILED AS OF DATE: 20041208 DATE AS OF CHANGE: 20041208 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 STREET STREET 2: SUITE 1400 CITY: JACKSONVILLE STATE: FL ZIP: 32202 BUSINESS PHONE: 9043542482 MAIL ADDRESS: STREET 1: 225 WATER STREET, SUITE 1400 CITY: JACKSONVILLE STATE: FL ZIP: 32202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARATTA ROBERT O MD CENTRAL INDEX KEY: 0001180810 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11983 FILM NUMBER: 041190455 MAIL ADDRESS: STREET 1: 225 WATER ST STREET 2: STE 1400 CITY: JACKSONVILLE STATE: FL ZIP: 32202-1547 4 1 dkm430_ex.xml X0202 4 2004-12-07 0 0001010247 FPIC INSURANCE GROUP INC FPIC 0001180810 BARATTA ROBERT O MD 225 WATER STREET SUITE 1400 JACKSONVILLE FL 32202 1 0 0 0 Common Stock 2004-12-07 4 M 0 1000 10 A 52664 D Common Stock 2004-12-07 4 G 0 958 0 D 51706 D Director Stock Options (right to buy) 10 2004-12-07 4 M 0 1000 0 D 1996-08-01 2006-08-01 Common Stock 1000 4000 D One third exercisable on 8/1/97, 8/1/98 and 8/1/99. /s/ Roberta Goes Cown, Attorney-in-Fact 2004-12-07 -----END PRIVACY-ENHANCED MESSAGE-----