-----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, Wytd1b1N3iklt9jTZQF4vLZx5L7p+K9vo5fbm+uD8tsyNzl48HxlyFKFxdEcRY0P hcYzD4+xiDQJUUpcE+144A== 0001209191-06-059474.txt : 20061115 0001209191-06-059474.hdr.sgml : 20061115 20061115090821 ACCESSION NUMBER: 0001209191-06-059474 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061115 FILED AS OF DATE: 20061115 DATE AS OF CHANGE: 20061115 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERUS GROUP CO/IA CENTRAL INDEX KEY: 0001051717 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 421458424 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 699 WALNUT STREET CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 5153623600 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN MUTUAL HOLDING CO DATE OF NAME CHANGE: 19971217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GODLASKY THOMAS C CENTRAL INDEX KEY: 0001069771 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15166 FILM NUMBER: 061218138 BUSINESS ADDRESS: BUSINESS PHONE: 5153623600 MAIL ADDRESS: STREET 1: 699 WALNUT STREET STREET 2: SUITE 2000 CITY: DES MOINES STATE: IA ZIP: 50309 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2006-11-15 1 0001051717 AMERUS GROUP CO/IA AMH 0001069771 GODLASKY THOMAS C 699 WALNUT STREET SUITE 2000 DES MOINES IA 50309 1 1 0 0 Chairman, President and CEO Common Stock 2006-11-15 2006-11-15 4 D 0 29197.41 69.00 D 0 D Common Stock 2006-11-15 2006-11-15 4 D 0 3898.11 69.00 D 0 I By 401 (k) Plan Common Stock 2006-11-15 2006-11-15 4 D 0 350 69.00 D 0 I By Daughter Common Stock 2006-11-15 2006-11-15 4 D 0 9784 69.00 D 0 I By Spouse Employee Stock Option (Right to Buy) 27.875 2006-11-15 2006-11-15 4 D 0 60000 41.125 D 2007-07-28 Common Stock 60000 0 D Employee Stock Option (Right to Buy) 20.50 2006-11-15 2006-11-15 4 D 0 10000 48.50 D 2009-02-17 Common Stock 10000 0 D Employee Stock Option (Right to Buy) 20.00 2006-11-15 2006-11-15 4 D 0 55000 49.00 D 2010-02-11 Common Stock 55000 0 D Employee Stock Option (Right to Buy) 30.05 2006-11-15 2006-11-15 4 D 0 50000 38.95 D 2011-02-09 Common Stock 50000 0 D Employee Stock Option (Right to Buy) 38.27 2006-11-15 2006-11-15 4 D 0 60000 30.73 D 2012-02-08 Common Stock 60000 0 D Employee Stock Option (Right to Buy) 26.75 2006-11-15 2006-11-15 4 D 0 50000 42.25 D 2013-02-14 Common Stock 50000 0 D Employee Stock Option (Right to Buy) 37.62 2006-11-15 2006-11-15 4 D 0 40000 31.38 D 2014-02-13 Common Stock 40000 0 D Employee Stock Option (Right to Buy) 60.30 2006-11-15 2006-11-15 4 D 0 40000 8.70 D 2016-02-10 Common Stock 40000 0 D Employee Stock Option (Right to buy) 47.03 2006-11-15 2006-11-15 4 D 0 34000 21.97 D 2015-02-11 Common Stock 34000 0 D Performance Rights 0.00 2006-11-15 2006-11-15 4 D 0 1740.41 69.00 D Common Stock 1740.41 0 D This option was vested immediately and was disposed of pursuant to the merger agreement between the issuer and Aviva plc for the price reflected in column 8. These performance units were vested immediately and were disposed of pursuant to the merger agreement between the issuer and Aviva plc for $69 per share on the effective date of the merger. AmerUs Group Co. (NYSE: AMH) was merged into an acquisition subsidiary of Aviva plc on 11/15/2006. This form reports "disposition" of all AMH securities in the merger. /s/ Jeananne M. Celander, Attorney-in-fact for Mr. Godlasky 2006-11-15 -----END PRIVACY-ENHANCED MESSAGE-----