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LUCHETTA THOMAS A 4

Accession 0000878897-04-000076

CIK 0000878897other

Filed

Dec 14, 7:00 PM ET

Accepted

Dec 15, 5:24 PM ET

Size

10.8 KB

Accession

0000878897-04-000076

Insider Transaction Report

Form 4
Period: 2004-12-13
LUCHETTA THOMAS A
Vice President, Sales
Transactions
  • Disposition to Issuer

    Common Stock

    2004-12-13$32.75/sh409.5$13,4110 total(indirect: By 401(k))
  • Disposition to Issuer

    Employee stock option (right to buy)

    2004-12-13$19.85/sh5,000$99,2500 total
    Exercise: $12.90Exp: 2015-03-09Common Stock (5,000 underlying)
Footnotes (2)
  • [F1]The reporting person acquired a total of 129 shares of AMZ common stock under the issuer's 401(k) plan since April 6, 2004. Such acquisitions, which were not "discretionary transactions" as defined in Rule 16b-3(b), are exempt from Section 16(b) by virtue of Rule 16b-3(c) and are exempt from the reporting requirements of Section 16(a) by virtue of Rule 16a-3(f)(1)(i)(B).
  • [F2]This option vested in four equal annual installments beginning March 10, 2004.

Issuer

AMERICAN MEDICAL SECURITY GROUP INC

CIK 0000878897

Entity typeother

Related Parties

1
  • filerCIK 0001287154

Filing Metadata

Form type
4
Filed
Dec 14, 7:00 PM ET
Accepted
Dec 15, 5:24 PM ET
Size
10.8 KB