-----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, TmI8EjRs1k2BDGoJ7WoN7XcH1OZXC4k9SS8pldkYslf7OsCvrCtqLk9XqMPxYU46 R48wGDtDY4szIIAAC/DhpA== 0001181431-09-000551.txt : 20090105 0001181431-09-000551.hdr.sgml : 20090105 20090105142313 ACCESSION NUMBER: 0001181431-09-000551 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081231 FILED AS OF DATE: 20090105 DATE AS OF CHANGE: 20090105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRADFORD DONALD CENTRAL INDEX KEY: 0001299677 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50926 FILM NUMBER: 09504059 BUSINESS ADDRESS: BUSINESS PHONE: 231-924-0300 MAIL ADDRESS: STREET 1: 933 E. MAIN STREET CITY: FREMONT STATE: MI ZIP: 49412 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FREMONT MICHIGAN INSURACORP INC CENTRAL INDEX KEY: 0001271245 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 421609947 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 933 E. MAIN ST CITY: FREMONT STATE: MI ZIP: 49412 BUSINESS PHONE: 231 924 0300 MAIL ADDRESS: STREET 1: 933 E. MAIN ST CITY: FREMONT STATE: MI ZIP: 49412 4 1 rrd228340.xml X0303 4 2008-12-31 0 0001271245 FREMONT MICHIGAN INSURACORP INC FMMH 0001299677 BRADFORD DONALD 933 EAST MAIN FREMONT MI 49412 1 1 0 0 SECRETARY Stock Option - Right to Buy 15.55 2008-12-31 4 A 0 250 15.55 A 2018-12-31 Common Stock 250 2980 D Options vest and become exercisable equally over a 5 year period. Upone retirement from the Company after (i) attaining 65 years of age and (ii) serving as an employee or non-employee director for at least 10 years, all options are deemed vested and exercisable for a period 90 days after the date of retirement. Marvin Deur 2009-01-05 -----END PRIVACY-ENHANCED MESSAGE-----