-----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, HPcsNa7+pTMWb87z2PqC2eECn0aPDD09XA2Uk6Ikcym9Ro9uVs3Ssqg6rlvIrAzl PhU6OfpFoYsASclD7/Paog== 0000895345-03-000548.txt : 20030815 0000895345-03-000548.hdr.sgml : 20030815 20030815124014 ACCESSION NUMBER: 0000895345-03-000548 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20030730 FILED AS OF DATE: 20030815 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERIGROUP CORP CENTRAL INDEX KEY: 0001064863 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 541739323 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4425 CORPORATION LANE STREET 2: SUITE 100 CITY: VIRGINIA BEACH STATE: VA ZIP: 23462 BUSINESS PHONE: 7574906900 MAIL ADDRESS: STREET 1: 4425 CORPORATION LN CITY: VIRGINIA BEACH STATE: VA ZIP: 23462 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FERRER CARLOS A CENTRAL INDEX KEY: 0001039931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31574 FILM NUMBER: 03850050 BUSINESS ADDRESS: STREET 1: FERRER FREEMAN THOMPSON & CO LLC STREET 2: THE MILL 10 GLENVILLE ST CITY: GREENWICH STATE: CT ZIP: 06831 BUSINESS PHONE: 2035328011 MAIL ADDRESS: STREET 1: FERRER FREEMAN THOMPSON & CO LLC STREET 2: THE MILL 10 GLENVILLE ST CITY: GREENWICH STATE: CT ZIP: 06831 4 1 dg4-amerigroup_ferrerex.xml X0201 4 2003-07-30 0 0001064863 AMERIGROUP CORP AGP 0001039931 FERRER CARLOS A FERRER FREEMAN & COMPANY, LLC THE MILL, 10 GLENVILLE ST GREENWICH CT 06831 1 0 0 0 Common Stock 2003-08-14 5 G 0 1500 0 D 107844 D Contract 2003-08-13 4 J 0 1 A 2006-08-14 2006-08-14 Common Stock 23000 1 D Stock Option (Right to Buy) 42.49 2003-07-30 4 A 0 40000 0 A 2006-07-30 2013-07-30 Common Stock 40000 40000 D Carlos Ferrer ("Mr. Ferrer") is a member of the board of directors of the Issuer and a member of Ferrer Freeman & Company, LLC ("FFC"), which is the general partner of FFC Partners I, L.P. ("FFC I") and FFC Executive Partners I, L.P.. See attached Exhibit 99.1. Options vest 33.33% on the first anniversary and an additional 8.33% per quarter thereafter. The date in the table represents the date upon which the options become fully exercisable. The options expire ten years from the date of the grant. Mr. Ferrer holds the options for the benefit of FFC I. Mr. Ferrer disclaims beneficial ownership of these options except to the extent of his pecuniary interest therein, if any. Tricia A. Summers, Attorney-in-Fact 2003-08-15 EX-24 3 ex24ferrer.txt LIMITED POWER OF ATTORNEY FOR AmeriGroup Corporation SECTION 16(A) FILINGS ------------------------ Know all by these presents, that the undersigned hereby constitutes and appoints each of Thomas J. Flynn and Tricia A. Summers, signing singly, the undersigned's true and lawful attorney-in-fact to: (1) Execute for and on behalf of the undersigned, in the undersigned's capacity as an officer, director and/or stockholder of AmeriGroup Corporation (the "Company"), Forms 3, 4, and 5 and amendments thereto in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (2) Do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5 or amendment thereto and timely file such form with the United States Securities and Exchange Commission (the "SEC") and any stock exchange or similar authority; and (3) Take any other action of any type whatsoever which, in the opinion of such attorney-in-fact, may be necessary or desirable in connection with the foregoing authority, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transaction in securities of the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. This Power of Attorney may be filed with the SEC as a confirming statement of the authority granted herein. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 11th day of August, 2003. Carlos A. Ferrer - ---------------------------------------- Print Name of Reporting Person /s/ Carlos A. Ferrer - ---------------------------------------- Signature EX-99.1 4 footnote2.txt FORM 4 FOOTNOTE 2 On August 13, 2003, Mr. Ferrer entered into a forward sale agreement (the "Forward Agreement") relating to 23,000 shares (the "Base Amount") of Common Stock. In connection with the Forward Agreement, the counterparty sold 23,000 shares of Common Stock into the public market in accordance with paragraphs (f) and (g) of Rule 144 under the Securities Act of 1933, as amended, at an average price of $41.81 per share. The Forward Agreement provides that three business days after August 14, 2006, Mr. Ferrer will deliver a number of shares of Common Stock (or, at the election of Mr. Ferrer, the cash equivalent of such shares) based on the following: (a) if the closing price of the Common Stock on August 14, 2006 (the "Final Price") is less than $41.81 per share, Mr. Ferrer will deliver 23,000 shares; (b) if the Final Price is equal to or greater than $41.81 per share (the "Floor Price") but less than or equal to $50.17 per share (the "Cap Price"), Mr. Ferrer will deliver a number of shares equal to Floor Price/Final Price x 23,000; (c) If the Final Price is greater than the Cap Price, Mr. Ferrer will deliver a number of shares equal to Floor Price + (Final Price - Cap Price)/Final Price x 23,000. In consideration therefore, Carlos Ferrer has received a price of $853,469.08. Mr. Ferrer entered into the Forward Agreement as part of a diversification plan. Mr. Ferrer submits that this plan does not in any way reflect on his confidence in the future growth of the Issuer. Mr. Ferrer opted for this transaction over a direct sale because he is optimistic about the opportunity for the Issuer and wants to maintain the maximum amount of exposure while still achieving a prudent amount of liquidity. -----END PRIVACY-ENHANCED MESSAGE-----