-----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, QB/q2q89Gpp+p5Y/4/Q8T1w+KZcHPhjTlNYpIwy3c0qz7wH0LM+e767LPk+kkICc nwz0/dJWHCLISMA/e4PpUA== 0000355429-03-000037.txt : 20030213 0000355429-03-000037.hdr.sgml : 20030213 20030213094247 ACCESSION NUMBER: 0000355429-03-000037 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030213 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: BIELEN RICHARD J CENTRAL INDEX KEY: 0001192254 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 2801 HIGHWAY STREET 2: 280 SOUTH CITY: BIRMINGHAM STATE: AL ZIP: 35223 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROTECTIVE LIFE CORP CENTRAL INDEX KEY: 0000355429 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 952492236 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12332 FILM NUMBER: 03556783 BUSINESS ADDRESS: STREET 1: 2801 HGWY 280 S CITY: BIRMINGHAM STATE: AL ZIP: 35223 BUSINESS PHONE: 2058799230 MAIL ADDRESS: STREET 1: PO BOX 2606 CITY: BIRMINGHAM STATE: AL ZIP: 35202 5 1 form5-bielen12312002.htm FORM 5 - RICHARD J. BIELEN Form 5 - Richard J. Bielen
FORM 5

ANNUAL STATEMENT OF
CHANGES IN BENEFICIAL OWNERSHIP

    Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
        See Instruction 1(b).

    Form 3 Holdings Reported

    Form 4 Transactions Reported

1. Name and Address of Reporting Person*
(Last)Bielen
(First)Richard
(Middle)J.
(Street)2801 Highway 280 South
(City)Birmingham
(State)Alabama
(Zip)35223

2. Issuer Name and Ticker or Trading Symbol
(Issuer Name)Protective Life Corporation
(Ticker or Trading Symbol)PL

3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
(I.D. Number) 

4. Statement for Month/Year
(Month)December 31
(Year)2002

5. If Amendment, Date of Original (Month/Day/Year)
(Month/Day) 
(Year) 

6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
        X
 (Director)
X(Officer, give title below)
 Senior Vice President - Investments
 (10% Owner)
 (Other, specify below)
  





7. Individual or Joint/Group Filing (Check Applicable Line)
        X
XForm 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
(Instr. 3)
2. Transaction Date
(Month/Day/Year)
2A. Deemed
Execution Date,
if any
(Month/Day/Year)
3.
Transaction
Code
(Instr. 8)
4. Securities Acquired (A)
or Disposed of (D)
(Instr. 3,4, and 5)
5. Amount of
Securities
Beneficially
Owned at End
of Issuer's
Fiscal Year
(Instr. 3 and 4)
6. Owner-
ship Form:
Direct (D)
or Indirect
(I)
(Instr. 4)
7. Nature of
Indirect
Beneficial
Ownership
(Instr. 4)
Amount (A) or (D) Price
Common Stock12/02/02 A142.5242A29.5328,200.7713IDef Comp. 1
1. Total shares acquired as      11,664.4493I401(k) 2
dividends under PLC's Def.      7,496D 
Comp. Plan for officers of          
the Corp. exempt under          
Rule 16-b(3).         
2. Total shares held by         
reporting person in PLC's         
401(k) and Stock Ownership         
Plan as of 12/31/02.          

* If the form is filed by more than one reporting person, see instruction 4(b)(v).


























Table II – Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of
Derivative
Security
(Instr. 3)
2. Conversion
or Exercise
Price of
Derivative
Security
3. Transaction
Date
(Month/Day/Year)
3A. Deemed
Execution
Date, if any
(Month/Day/
Year
4. Transaction
Code
(Instr. 8)
5. Number of Derivative
Securities Acquired (A)
or Disposed of (D)
(Instr. 3,4, and 5)
6. Date Exercisable and
Expiration Date
(Month/Day/Year)
(A) (D) Date
Exercisable
Expiration
Date
SAR*     08/15/0108/15/06
       03/04/0703/04/12
         
         
         
         
         
         
         
         

Table II Continued - Derivative Securities Acquired, Disposed of or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
7. Title and Amount of
Underlying Securities
(Instr. 3 and 4)
8. Price of
Derivative
Security
(Instr. 5)
9. Number of
Derivative Securities
Beneficially Owned
at End of Year
Instr. 4)
10. Ownership
Form of Derivative
Security: Direct (D)
or Indirect (I)
(Instr. 4)
11. Nature of
Indirect Beneficial
Ownership
(Instr. 4)
Title Amount or
Number of
Shares
   15,000++D 1 
   15,000*** 
      
      
      
      
      
      
      
      

Explanation of Responses:
1     Includes shares received upon Protective Life Corp. 2 for 1 stock split which occurred on 4/2/98.
*    SAR with base price of $17.4375 payable in stock only at exercisable date.
**    Grant to reporting person of Stock Appreciation Right (SAR) under the Protective Life Corp. 1996 Stock Appreciation Rights Plan in transaction exempt under New Rule 16b-3(d)
*** Grant to reporting person of Stock Appreciation Right (SAR) in transaction exempt under Rule 16b-3(d). Base price $32.00.

**Intentional misstatements or omissions of facts constitute/s/          RICHARD J. BIELEN               FEBRUARY 13, 2003     
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).**Signature of Reporting PersonDate
 BY: HARRIETTE HYCHE 
 Attorney-in-fact for Richard J. Bielen
 

Note: File three copies of this Form, one of which must be manually
signed. If space is insufficient, see Instruction 6 for procedure.

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