-----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, BcjuisUtBr/iiRzvSOA+gdxH/EutH4unTxFjjm13J/v103/uWLvOXIlQOGhw0M4t 8AwMVCJrMOhe8PcMOE/ahg== 0000774624-97-000050.txt : 19970512 0000774624-97-000050.hdr.sgml : 19970512 ACCESSION NUMBER: 0000774624-97-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970430 FILED AS OF DATE: 19970509 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED GROUP INC CENTRAL INDEX KEY: 0000774624 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 420958655 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12663 FILM NUMBER: 97599746 BUSINESS ADDRESS: STREET 1: 701 FIFTH AVE CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 5152804211 MAIL ADDRESS: STREET 1: 701 5TH AVENUE CITY: DES MOINES STATE: IA ZIP: 50391-2000 FORMER COMPANY: FORMER CONFORMED NAME: AID CORP DATE OF NAME CHANGE: 19870519 COMPANY DATA: COMPANY CONFORMED NAME: SULLIVAN EDWARD E CENTRAL INDEX KEY: 0001023677 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 701 5TH AVE. CITY: DES MOINES STATE: IA ZIP: 50391-2000 BUSINESS PHONE: 5152804211 4 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. 1. Name and Address of Reporting Person(s) EDWARD E. SULLIVAN 701 5TH AVE DES MOINES IA 50391-2000 2. Issuer Name and Ticker or Trading Symbol ALLIED Group, Inc. (GRP) 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year April 1997 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Vice President of Certain Subsidiaries 7. Individual or Joint/Group Filing (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)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code V Amount D Price End of Month I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 04/28/97 M 188.0000 A $16.1667 D (1) Common Stock 04/28/97 D 188.0000 D $35.5625 D Common Stock 04/28/97 M 375.0000 A $16.1667 D Common Stock 04/28/97 M 375.0000 A $16.1667 D Common Stock 04/28/97 M 562.0000 A $18.4167 D Common Stock 04/28/97 M 562.0000 A $18.4167 D Common Stock 04/28/97 M 187.0000 A $18.4167 D Common Stock 04/28/97 D 187.0000 D $35.5625 D Common Stock 04/29/97 S 268.0000 D $35.6250 D Common Stock 04/29/97 S 700.0000 D $35.5000 3,173.5867 D Common Stock 1,501.5493 I by ESOP Table II (PART 1) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code V A D Exercisable Expiration - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right $16.1667 04/28/97 M 375.0000 (2) 03/31/96 03/31/04 to buy) Non-Qualified Stock Option $16.1667 04/28/97 M 375.0000 (2) 03/31/96 03/31/04 (right to buy) Stock Appreciation Right $16.1667 04/28/97 M (1) 188.0000 03/31/96 03/31/04 Incentive Stock Option (right $18.4167 04/28/97 M 562.0000 (3) 03/31/97 03/31/05 to buy) Non-Qualified Stock Option $18.4167 04/28/97 M 562.0000 (3) 03/31/97 03/31/05 (right to buy) Stock Appreciation Right $18.4167 04/28/97 M (1) 187.0000 03/31/97 03/31/05 Non-Qualified Stock Option $34.3750 03/21/97 A 8,000.0000 03/21/00 03/21/07 (right to buy) Table II (PART 2) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Month - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right 04/28/97 Common Stock 375.0000 750.0000 D to buy) Non-Qualified Stock Option 04/28/97 Common Stock 375.0000 750.0000 D (right to buy) Stock Appreciation Right 04/28/97 Common Stock 188.0000 375.0000 D Incentive Stock Option (right 04/28/97 Common Stock 562.0000 1,688.0000 D to buy) Non-Qualified Stock Option 04/28/97 Common Stock 562.0000 1,688.0000 D (right to buy) Stock Appreciation Right 04/28/97 Common Stock 187.0000 563.0000 D Non-Qualified Stock Option 03/21/97 Common Stock 8,000.0000 8,000.0000 D (right to buy) Explanation of Responses: (1) Exercise of SAR for cash. (2) This option was previously reported covering 250 shares at an exercise price of $24.25 per share, but was adjusted to reflect a stock split on November 29, 1996. (3) This option was previously reported covering 375 shares at an exercise price of $27.625 per share, but was adjusted to reflect a stock split on November 29, 1996.
SIGNATURE OF REPORTING PERSON /S/ EDWARD E. SULLIVAN DATE -----END PRIVACY-ENHANCED MESSAGE-----