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FREMONT MICHIGAN INSURACORP INC·4

Oct 18, 4:58 PM ET

FREMONT MICHIGAN INSURACORP INC 4

4 · FREMONT MICHIGAN INSURACORP INC · Filed Oct 18, 2004

Insider Transaction Report

Form 4
Period: 2004-10-15
FREMONT MICHIGAN INSURACORP INCNONE
DEKUIPER MICHAEL
Director
Transactions
  • Purchase

    Common Stock

    2004-10-15$10.00/sh+1,250$12,500→ 1,250 total
  • Purchase

    Common Stock

    2004-10-15$10.00/sh+3,881$38,810→ 5,131 total(indirect: by the White Agency, Inc.)
  • Award

    Stock Option <Right to Buy>

    2004-10-15$10.00/sh+200$2,000→ 200 total
    Exercise: $10.00From: 2005-10-15Exp: 2014-10-15→ Common Stock (200 underlying)
  • Award

    Stock Option <Right to Buy>

    2004-10-15$10.00/sh+200$2,000→ 400 total
    Exercise: $10.00From: 2006-10-15Exp: 2014-10-15→ Common Stock (200 underlying)
  • Award

    Stock Option <Right to Buy>

    2004-10-15$10.00/sh+200$2,000→ 600 total
    Exercise: $10.00From: 2007-10-15Exp: 2014-10-15→ Common Stock (200 underlying)
  • Award

    Stock Option <Right to Buy>

    2004-10-15$10.00/sh+200$2,000→ 800 total
    Exercise: $10.00From: 2008-10-15Exp: 2014-10-15→ Common Stock (200 underlying)
  • Award

    Stock Option <Right to Buy>

    2004-10-15$10.00/sh+200$2,000→ 1,000 total
    Exercise: $10.00From: 2009-10-15Exp: 2014-10-15→ Common Stock (200 underlying)
Signature
/s/ Marvin Deur, Attorney-in-Fact|2004-10-18

Documents

1 file
  • 4
    rrd55023.xmlPrimary

    DEKUIPER FORM 4 - 10/15/2004