-----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, A6bXdXy10PtjapNUDgcnipShOnurbY9/NQQ3Rgym73r1bRxSC23xey5kx9g+LFUQ w8uCpuC4IMbIpfMfMRLzyw== 0000774624-98-000155.txt : 19981210 0000774624-98-000155.hdr.sgml : 19981210 ACCESSION NUMBER: 0000774624-98-000155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981130 FILED AS OF DATE: 19981209 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: SEC FILE NUMBER: 001-12663 FILM NUMBER: 98766190 BUSINESS ADDRESS: STREET 1: 701 FIFTH AVE CITY: DES MOINES STATE: IA ZIP: 50391-2000 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: RASMUSSEN STEPHEN S CENTRAL INDEX KEY: 0001023674 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 [X] 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) STEPHEN S. RASMUSSEN 701 5th Ave Des Moines, IA 50391-2007 2. Issuer Name and Ticker or Trading Symbol ALLIED Group, Inc. (GRP) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Year 11/98 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) Executive Vice President 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 - ------------------------------------------------------------------------------------------------------------------------------------ Table II (PART 1) Derivative Securities 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 $10.7778 11/12/98 D V 1,688.0000 (1) 10/01/98 03/31/04 to buy) Incentive Stock Option (right $12.2778 11/12/98 D V 3,375.0000 (2) 10/01/98 03/31/05 to buy) Incentive Stock Option (right $17.8889 11/12/98 D V 4,500.0000 (3) 10/01/98 03/22/06 to buy) Non-Qualified Stock Option $12.2222 11/12/98 D V 22,500.0000 (4) 10/01/98 03/31/05 Non-Qualified Stock Option $10.7778 11/12/98 D V 1,688.0000 (1) 10/01/98 03/31/04 (right to buy) Non-Qualified Stock Option $12.2778 11/12/98 D V 3,375.0000 (2) 10/01/98 03/31/05 (right to buy) Non-Qualified Stock Option $17.8889 11/12/98 D V 4,500.0000 (3) 10/01/98 03/22/06 (right to buy) Non-Qualified Stock Option $22.9167 11/12/98 D V 15,000.0000 (5) 10/01/98 03/21/07 (right to buy) Non-Qualified Stock Option $32.5313 11/12/98 D V 18,000.0000 10/01/98 03/10/08 (right to buy) Stock Appreciation Right $10.7778 11/12/98 D V 563.0000 03/31/97 03/31/04 Stock Appreciation Right $12.2778 11/12/98 D V 1,125.0000 03/31/97 03/31/05 Stock Appreciation Right $17.8889 11/12/98 D V 2,250.0000 03/22/98 03/22/06 Table II (PART 2) Derivative Securities 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 11/12/98 Common Stock 1,688.0000 $48.2500 0.0000 D Direct to buy) Incentive Stock Option (right 11/12/98 Common Stock 3,375.0000 $48.2500 0.0000 D Direct to buy) Incentive Stock Option (right 11/12/98 Common Stock 4,500.0000 $48.2500 0.0000 D Direct to buy) Non-Qualified Stock Option 11/12/98 Common Stock 22,500.0000 $48.2500 0.0000 D Direct Non-Qualified Stock Option 11/12/98 Common Stock 1,688.0000 $48.2500 0.0000 D Direct (right to buy) Non-Qualified Stock Option 11/12/98 Common Stock 3,375.0000 $48.2500 0.0000 D Direct (right to buy) Non-Qualified Stock Option 11/12/98 Common Stock 4,500.0000 $48.2500 0.0000 D Direct (right to buy) Non-Qualified Stock Option 11/12/98 Common Stock 15,000.0000 $48.2500 0.0000 D Direct (right to buy) Non-Qualified Stock Option 11/12/98 Common Stock 18,000.0000 $48.2500 0.0000 D Direct (right to buy) Stock Appreciation Right 11/12/98 Common Stock 563.0000 $48.2500 0.0000 D Direct Stock Appreciation Right 11/12/98 Common Stock 1,125.0000 $48.2500 0.0000 D Direct Stock Appreciation Right 11/12/98 Common Stock 2,250.0000 $48.2500 0.0000 D Direct Explanation of Responses: (1) This option was previously reported covering 750 shares at an exercise price of $24.25 per share, but was adjusted to reflect a stock split on November 29, 1996 and another stock split on November 28, 1997. (2) This option was previously reported covering 1,500 shares at an exercise price of $27.625 per share, but was adjusted to reflect a stock split on November 29, 1996, and another stock split on November 28, 1997. (3) This option was previously reported covering 2,000 shares at an exercise price of $40.25 per share, but was adjusted to reflect a stock split on November 29, 1996, and another stock split on November 28, 1997. (4) This option was previously reported covering 10,000 shares at an exercise price of $27.50 per share, but was adjusted to reflect a stock split on November 29, 1996, and another stock split on November 28, 1997. (5) This option was previously reported covering 10,000 shares at an exercise price of $34.375 per share, but was adjusted to reflect a stock split on November 28, 1997.
SIGNATURE OF REPORTING PERSON /S/ STEPHEN S. RASMUSSEN DATE -----END PRIVACY-ENHANCED MESSAGE-----