-----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, VqNJkB9tG9jm4E5xRnGgBmqGukgiJbJt2QpNrRE7hALiOd/VeNXPNROxe7jrYZFT BzWx+M6bPz1GWo2CCdfKtg== 0000897069-05-002135.txt : 20050830 0000897069-05-002135.hdr.sgml : 20050830 20050830162842 ACCESSION NUMBER: 0000897069-05-002135 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050826 FILED AS OF DATE: 20050830 DATE AS OF CHANGE: 20050830 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: BAGBY RICHARD J MD CENTRAL INDEX KEY: 0001180809 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11983 FILM NUMBER: 051059159 MAIL ADDRESS: STREET 1: 225 WATER ST STREET 2: STE 1400 CITY: JACKSONVILLE STATE: FL ZIP: 32202-1547 4 1 dkm694_ex.xml X0202 4 2005-08-26 0 0001010247 FPIC INSURANCE GROUP INC FPIC 0001180809 BAGBY RICHARD J MD 225 WATER STREET SUITE 1400 JACKSONVILLE FL 32202 1 0 0 0 Common Stock 2005-08-26 4 M 0 600 15.25 A 10275 D Common Stock 2005-08-26 4 S 0 600 34 D 9675 D Common Stock 2005-08-29 4 M 0 4400 15.25 A 14075 D Common Stock 2005-08-29 4 S 0 4400 34 D 9675 D Common Stock 2005-08-29 4 M 0 5000 15.50 A 14675 D Common Stock 2005-08-29 4 S 0 5000 34 D 9675 D Common Stock 2005-08-29 4 M 0 5000 14.70 A 14675 D Common Stock 2005-08-29 4 S 0 5000 34 D 9675 D Common Stock 5175 I Grandson Director Stock Options (right to buy) 15.25 2005-08-26 4 M 0 600 0 D 2009-11-06 Common Stock 600 4400 D Director Stock Options (right to buy) 15.25 2005-08-29 4 M 0 4400 0 D 2009-11-06 Common Stock 4400 0 D Director Stock Options (right to buy) 15.50 2005-08-29 4 M 0 5000 0 D 2010-06-07 Common Stock 5000 0 D Director Stock Options (right to buy) 14.70 2005-08-29 4 M 0 5000 0 D 2012-06-05 Common Stock 5000 0 D Issued pursuant to Director Stock Option Plan. One third exercisable on 11/6/00, 11/6/01 and 11/6/02. One third exercisable on 6/7/01, 6/7/02 and 6/7/03. One third exercisable on 6/5/03, 6/5/04 and 6/5/05. /s/ Roberta Goes Cown, Attorney-in-Fact 2005-08-30 -----END PRIVACY-ENHANCED MESSAGE-----