-----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, OFJn/UKh7MlRExCSdvBGPOsIdX1LO587PS99PaLOwUWLlQEShnOOLwHO7rEp461e PM0KHKxkr2CIsI29TvGO7w== 0000897069-05-000216.txt : 20050126 0000897069-05-000216.hdr.sgml : 20050126 20050126173256 ACCESSION NUMBER: 0000897069-05-000216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050120 FILED AS OF DATE: 20050126 DATE AS OF CHANGE: 20050126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BYERS JOHN R CENTRAL INDEX KEY: 0001180816 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11983 FILM NUMBER: 05551105 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 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 4 1 dkm515_ex.xml X0202 4 2005-01-20 0 0001010247 FPIC INSURANCE GROUP INC FPIC 0001180816 BYERS JOHN R 225 WATER STREET SUITE 1400 JACKSONVILLE FL 32202 1 1 0 0 President and CEO Common Stock 2005-01-20 4 A 0 5000 0 A 20303 D Common Stock 2005-01-26 4 A 0 28986 0 A 49289 D Employee Stock Options 30.38 2005-01-20 4 A 0 15000 0 A 2015-01-20 Common Stock 15000 15000 D Restricted Stock Grant Vesting Dates: 1/3-1/20/06 1/3-1/20/07 1/3-1/20/08 Restricted Stock Grant Vesting Dates: 1/3-1/26/08 1/3-1/26/10 1/3-1/26/12 Stock Option Grant Dates Exercisable: 1/3-1/20/06 1/3-1/20/07 1/3-1/20/08 Expiration Date: 1/20/15 /s/ Roberta Goes Cown, as Power of Attorney 2005-01-25 -----END PRIVACY-ENHANCED MESSAGE-----