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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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) |
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 Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
VESTA INSURANCE GROUP INC 3760 RIVER RUN DRIVE BIRMINGHAM, AL 35243 |
X | |||
Vesta Fire Insurance CORP 3760 RIVER RUN DRIVE BIRMINGHAM, AL 35243 |
X |
/s/ John W. McCullough, Vice President and Associate General Counsel, Vesta Insurance Group, Inc. | 03/02/2005 | |
**Signature of Reporting Person | Date | |
/s/ John W. McCullough, Authorized Representative, Vesta Fire Insurance Corporation | 03/02/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | This form is being filed to report an intercompany transfer among Vesta Insurance Group, Inc. ("Vesta") and Vesta Fire Insurance Corporation ("Vesta Fire"), joint filers of this report. Vesta Fire is a wholly-owned subsidiary of Vesta. From the date of the joint filers' last report on Form 4, there has been no change in the total amount of shares owned, directly or indirectly, by Vesta (7,218,228 shares). The joint filers consider the reported transactions to be exempt changes in form of beneficial ownership. |
(2) | On February 28, 2005, Vesta transferred 304,922 shares to its wholly-owned subsidiary, Vesta Fire, in exchange for $5.2 million in principal amount of Vesta's 12.50% Senior Notes due 2005 (subsequently redesignated 8.00% Senior Notes due 2008) held by Vesta Fire. |
(3) | Shares owned directly by Vesta. |
(4) | Shares owned directly by Vesta Fire. Vesta is an indirect beneficial owner of the reported securities. |