U S MUTUAL FINANCIAL CORP 5
5 · U S MUTUAL FINANCIAL CORP · Filed Apr 30, 2004
Insider Transaction Report
Form 5
CROCKATT CLIFTON S
DirectorPres, CEO and Sec10% Owner
Transactions
- Other
Com stk, $1 par value
[F1]1986-02-17+100,000→ 100,000 total - Other
Com stk, $1 par value
[F1]1992-09-01+50,000→ 150,000 total - Purchase
Com stk, $1 par value
[F2]2003-12-11$0.33/sh+801,840$267,574→ 951,840 total
Footnotes (2)
- [F1]Reporting person received a grant of stock from the Issuer
- [F2]The Reporting Person owns 150,000 shares directly. LYRE, LLC, of which CCG Partners, LLC is a member, owns 801,840 shares. The Reporting Person owns a 50% membership interest in and is a managing member of CCG Partners, LLC and, accordingly, through this indirect ownership, may be deemed to be a beneficial owner of the shares owned by LYRE, LLC. The Reporting Person disclaims beneficial ownership of shares owned by LYRE, LLC except to the extent of his pecuniary interest therein.
Signature
/s/Clifton S. Crockatt|2004-04-05