-----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, DCKJiVh1I7gQ1GpeS/6X040EbIXMB3JesM+M0oxvEv1rtdZK6thVBarVU/wLkj/p snTTvbkVV45RzRBS8JfQFg== 0001062134-99-000001.txt : 19990210 0001062134-99-000001.hdr.sgml : 19990210 ACCESSION NUMBER: 0001062134-99-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PRE PAID LEGAL SERVICES INC CENTRAL INDEX KEY: 0000311657 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399] IRS NUMBER: 731016728 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-09293 FILM NUMBER: 99524660 BUSINESS ADDRESS: STREET 1: 321 E MAIN ST CITY: ADA STATE: OK ZIP: 74820 BUSINESS PHONE: 5804361234 MAIL ADDRESS: STREET 1: 321 E MAIN CITY: ADA STATE: OK ZIP: 74820 COMPANY DATA: COMPANY CONFORMED NAME: STONECIPHER SHIRLEY CENTRAL INDEX KEY: 0001062134 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR IRS NUMBER: 440406437 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: RT 1 BOX 39 CITY: CENTRAHOMA STATE: OK ZIP: 74534 MAIL ADDRESS: STREET 1: PRE PAID LEGAL SERVICES INC STREET 2: PO BOX 145 CITY: ADA STATE: OK ZIP: 74820 5 1 FORM 5 - DECEMBER 31, 1998 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person Stonecipher, Shirley Rt. 1, Box 39 Centrahoma, OK 74534 U.S.A. 2. Issuer Name and Ticker or Trading Symbol Pre-Paid Legal Services, Inc. PPD 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year December 31, 1998 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Reporting (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |08/11/|G |1,000 |D | |1,072,025 |D (1) | | |98 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |17,081 |I |by spouse (2) (3) | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Option - Right to Buy |38.50 |04/17|J |A(4) |A |(5) |04/17|Common |10,000 | |10,000 |D | | | |/98 | | | | |/03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) These shares are held jointly with the reporting person's spouse. The reporting person's spouse is Chairman of the Board and Chief Executive Officer of the Issuer. (2) These shares are held by the reporting person's spouse indirectly through the Issuer's ESOP Trust. (3) The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. (4) These securities were acquired through participation in the Issuer's Stock Option Plan approved by shareholders on May 24, 1996. They are exempt under Rule 16a-8(b), (5) These options granted were immediately execisable as to 2,500 shares and will vest in additional increments of 2,500 on the following June 1, September 1st and December 1st of the year of grant. SIGNATURE OF REPORTING PERSON Shirley Stonecipher DATE February 9, 1999 -----END PRIVACY-ENHANCED MESSAGE-----