1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Employee Stock Option (Right to Buy)
|
09/20/1997 |
02/12/2007 |
Common Stock
|
27,684
(1)
|
$
17.38
|
D
|
Â
|
Employee Stock Option (Right to Buy)
|
12/10/1999 |
02/26/2009 |
Common Stock
|
8,800
(1)
|
$
13.35
|
D
|
Â
|
Employee Stock Option (Right to Buy)
|
07/15/2002 |
01/15/2012 |
Common Stock
|
25,000
(2)
|
$
16.8
|
D
|
Â
|
Employee Stock Option (Right to Buy)
|
09/04/2003 |
09/03/2013 |
Common Stock
|
12,500
(3)
|
$
22
|
D
|
Â
|
Employee Stock Option (Right to Buy)
|
09/10/2004 |
09/10/2014 |
Common Stock
|
12,500
(4)
|
$
33.28
|
D
|
Â
|
Employee Stock Option (Right to Buy)
|
09/10/2005 |
09/10/2015 |
Common Stock
|
12,500
(5)
|
$
41.15
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
Reflects options to purchase shares of ProAssurance Corporation common stock acquired beneficially by the reporting person in exchange for surrender of options to purchase shares of Professionals Group, Inc. in connection with the consolidation of Medical Assurance, Inc. and Professionals Group, Inc., under the ownership of ProAssurance Corporation. The acquisiton of ProAssurance Corporation shares reported herein is exempt from Section 16 (b) of the Securities Exchange Act, as amended, by virtue of Rule 16 (b)-6. |
(2) |
The options vest in five equal, yearly installments commencing on July 15, 2002 |
(3) |
The options vest in five equal, yearly installments commencing on September 4, 2003 |
(4) |
The options vest in five equal, yearly installments commencing on September 10, 2004 |
(5) |
The options vest in five equal, yearly installments commencing on September 10, 2005 |