-----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, PKOhOFmwW1a2Yy8LWbJDWAC9SSUgUawmf3KQijzmuuIF3f7beGePmj5VRnHNqrpU bLURa3J7qtIzqdSfaB8wGQ== 0001209191-04-059298.txt : 20041223 0001209191-04-059298.hdr.sgml : 20041223 20041223120118 ACCESSION NUMBER: 0001209191-04-059298 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041221 FILED AS OF DATE: 20041223 DATE AS OF CHANGE: 20041223 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KMG America CORP CENTRAL INDEX KEY: 0001299210 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 201377270 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6306 MAPLE RIDGE CITY: EXCELSIOR STATE: MN ZIP: 55331 BUSINESS PHONE: (952) 474-8674 MAIL ADDRESS: STREET 1: 6306 MAPLE RIDGE CITY: EXCELSIOR STATE: MN ZIP: 55331 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATHISEN DENNIS M CENTRAL INDEX KEY: 0001038601 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32377 FILM NUMBER: 041223095 BUSINESS ADDRESS: STREET 1: 8433 E CAREFREE DRIVE STREET 2: P O BOX 5511 CITY: CAREFREE STATE: AZ ZIP: 85377 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-12-21 0 0001299210 KMG America CORP NYSE: KMA 0001038601 MATHISEN DENNIS M 6306 MAPLE RIDGE EXCELSIOR MN 55331 1 0 0 0 Common Stock, par value $0.01 per share 2004-12-21 4 P 0 30000 9.50 A 30000 D Employee Stock Option (right to buy) 9.50 2004-12-21 4 A 0 1500 0.00 A 2014-12-15 Common Stock 1500 1500 D The options vest in four equal annual installments beginning on December 15, 2005. /s/ Scott H. DeLong III Attorney-in-fact 2004-12-22 -----END PRIVACY-ENHANCED MESSAGE-----