-----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, IK7yQJzlbWEgf8sWZN2h6UiydAJQtdnWnNfbh6UrNyi9ik0OmQ4oROXUGYaqC2Vp huK1Plr8pkGNlwxZU6ReIw== 0001209191-04-059305.txt : 20041223 0001209191-04-059305.hdr.sgml : 20041223 20041223122402 ACCESSION NUMBER: 0001209191-04-059305 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: Sass Thomas D CENTRAL INDEX KEY: 0001311648 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32377 FILM NUMBER: 041223219 BUSINESS ADDRESS: BUSINESS PHONE: (612) 325-1805 MAIL ADDRESS: STREET 1: 6306 MAPLE RIDGE CITY: EXCELSIOR STATE: MN ZIP: 55331 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-12-21 0 0001299210 KMG America CORP NYSE: KMA 0001311648 Sass Thomas D 6306 MAPLE RIDGE EXCELSIOR MN 55331 0 1 0 0 Senior Vice President Common Stock, par value $0.01 per share 2004-12-21 4 P 0 18000 8.835 A 34798 D Employee Stock Option (right to buy) 9.50 2004-12-21 4 A 0 155000 0.00 A 2014-12-15 Common Stock 155000 155000 D The options vest in four equal annual installments beginning on December 15, 2005. Thomas D. Sass is the Senior Vice President of Kanawha Insurance Company, a wholly-owned subsidiary of KMG America Corporation. /s/ Scott H. DeLong III Attorney-in-fact 2004-12-22 -----END PRIVACY-ENHANCED MESSAGE-----