UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ
INTERDEALER QUOTATION SYSTEM
Filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
and Rule 13a-17 or 15d-17 thereunder
The Seibels Bruce Group, Inc.
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(Exact name of issuer as specified in charter)
1501 Lady Street, Columbia, SC 29201
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(Address of principal executive offices)
Issuer's telephone number, including area code (803) 748-2000
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I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of 5% or more in the number of shares
outstanding:
1. Title of security Common stock, par value $1.00 per share
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2. Number of shares outstanding before the change 16,772,686 *
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3. Number of shares outstanding after the change 18,407,686 *
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4. Effective date of change March 28, 1996
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5. Method of change:
Specify method (such as merger, acquisition, exchange, distribution, stock
split, reverse split, acquisition of stock for treasury, etc.)
Distribution
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Give brief description of transaction : The Company issued 1,635,000 shares of
its authorized common stock to a group of investors for a price of $2.00 per
share. The investment group was also granted options expiring at the end of
the year 2000 to purchase an additional 1.635 million shares priced at the
higher of $2.50 per share or the book value at the date of exercise.
* - Not included in outstanding shares is 6,250,000 shares issued without
voting rights pending the special shareholders' meeting in the second
quarter of 1996.
II. CHANGE IN NAME OF ISSUER
1. Name prior to change ---------------------------------------------------
2. Name after change -----------------------------------------------------
3. Effective date of charter amendment changing name ----------------------
4. Date of shareholder approval of change, if required -------------------
Date April 10, 1996 /s/ John A. Weitzel
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Chief Financial Officer
(Officer's signature and title)
SEC 1811 (5/91)
