-----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, PH8J70A8WCdtEKhcpIKwHIgtRCt75nVKQOjruebpB8bwKHFA7D3O/BQwrP+77joI z6Fe3EKjqr04/gYIJHrIBA== 0001062135-99-000001.txt : 19990210 0001062135-99-000001.hdr.sgml : 19990210 ACCESSION NUMBER: 0001062135-99-000001 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: 99524619 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: SAVULA DAVE CENTRAL INDEX KEY: 0001062135 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR IRS NUMBER: 286461111 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 4501 KARLS GATE DR CITY: MARIETTA STATE: GA ZIP: 30068-2018 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 Savula, Dave 435 Robertson Road Dawsonville, GA 30534 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 | | | | | |40,278 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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 |43.13 |03/27|J |V(1) 10,000|A,D|(2) |03/27|Common |10,000 | |10,000 |D | | | |/98 | | | | |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option - Right to Buy |25.50 |09/18|J |V(1) 10,000|A,D|(2) |09/18|Common |10,000 | |10,000 |D | | | |/98 | | | | |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option - Right to Buy |25.56 |09/30|J |V(1) 8,750 |A,D|(2) |09/30|Common |8,750 | |8,750 |D | | | |/98 | | | | |/01 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) These securities were acquired through an incentive program approved by the Board of Directors. They are exempt under Rule 16a-8(b). (2) These options granted are exercisable immediately. SIGNATURE OF REPORTING PERSON Dave Savula DATE February 9, 1999 -----END PRIVACY-ENHANCED MESSAGE-----