X0304 4 2011-10-19 1 0001010247 FPIC INSURANCE GROUP INC FPIC 0001180806 ANDERSON JOHN K JR 1000 RIVERSIDE AVENUE SUITE 800 JACKSONVILLE FL 32204 1 0 0 0 Common Stock 2011-10-19 4 D 0 10200 D 0 D Common Stock 2011-10-19 4 D 0 46500 D 0 I John K. Anderson, Jr. Family Trust Includes 1,500 restricted shares issued under the issuer's Director Stock Plan the restrictions on which lapsed immediately prior to the effective time of the Merger pursuant to the Merger Agreement. Pursuant to the Agreement and Plan of Merger between the issuer, The Doctors Company and Fountain Acquisition Corp. (the "Merger Agreement"), these shares were converted into the right to receive $42.00 per share in cash immediately prior to the effective time of the Merger (the "Merger") of Fountain Acquisition Corp. with and into the issuer. T. Malcolm Graham, Attorney-in-Fact 2011-10-19