|
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 |
|
| |||||||||||||||||||||||||||||
|
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) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (Right to Buy) NQ | $ 26.45 | 05/10/2005 | A | 2,250 | 05/10/2006(3) | 05/09/2015 | Common Shares | 2,250 | $ 0 (1) | 2,250 | D | ||||
Employee Stock Option (Right to Buy) ISO | $ 26.45 | 05/10/2005 | A | 2,250 | 05/10/2006(3) | 05/09/2015 | Common Shares | 2,250 | $ 0 (1) | 2,250 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HAZELBAKER STEVEN R 518 E. BROAD STREET COLUMBUS, OH 43215 |
Vice President |
Steven R. Hazelbaker by John R. Lowther, attorney in fact, per POA filed with Commission 6/6/01 | 07/18/2005 | |
**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) | field should be left blank, but due to a software defect, requires input. |
(2) | Includes the following acquisitions: 4.211 shares acquired in Dec 2004 and 4.084 shares acquired in March 2005 and 3.881 shares acquired in June 2005 under the dividend reinvestment feature of the STFC Employee Stock Purchase Plan; and 0.036 shares acquired in Dec 2004 and 0.043 shares acquired in March 2005 and 0.038 shares acquired in June 2005 under the STFC Dividend Reinvestment Plan; and 249.408 shares acquired in May 2005 through the State Auto Financial Corporation Employee Stock Purchase Plan. |
(3) | The options vest in three equal annual installments beginning on May 10, 2006. |