-----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, TNLinxUxHnIBipkt6Nvw47svr4jXQpWX57UIsxqWA2dyrSnNo7NfXpA6B67ZCJv4 bpnEHCe/se2umM5GALHAsg== 0001179110-04-013200.txt : 20040618 0001179110-04-013200.hdr.sgml : 20040618 20040618115418 ACCESSION NUMBER: 0001179110-04-013200 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040616 FILED AS OF DATE: 20040618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOGLER WILLIAM V R CENTRAL INDEX KEY: 0001241272 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25425 FILM NUMBER: 04870179 MAIL ADDRESS: STREET 1: 10 HIGHWAY 31 STREET 2: PO BOX 278 CITY: PENNINGTON STATE: NJ ZIP: 08534 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MERCER INSURANCE GROUP INC CENTRAL INDEX KEY: 0001050690 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 232939601 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10 NORTH HIGHWAY ONE CITY: PENNINGTON STATE: NJ ZIP: 08534 BUSINESS PHONE: 6097370426 MAIL ADDRESS: STREET 1: 10 N HWY 1 CITY: PENNINGTON STATE: NJ ZIP: 08534 4 1 edgar.xml FORM 4 - X0202 4 2004-06-16 0 0001050690 MERCER INSURANCE GROUP INC MIGP 0001241272 FOGLER WILLIAM V R 10 NORTH HIGHWAY 31 PENNINGTON NJ 08534 1 0 0 0 Restricted Stock Award 12.21 2004-06-16 4 A 0 9375 12.21 A 2009-06-16 Common Stock 9375 9375 D Stock Option (right to buy) 12.21 2004-06-16 4 A 0 54800 12.21 A 2007-06-16 Common Stock 54800 54800 D The award vests over a five year period. The option vests in three annual installments beginning on June 16, 2004. Andrew R. Speaker, by Power of Attorney 2004-06-18 -----END PRIVACY-ENHANCED MESSAGE-----