UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
( ) Form 3 Holdings Reported
( ) Form 4 Transactions Reported
1. Name and Address of Reporting Person
Gongaware, Donald F.
4545 West 138th Street
Westfield, IN 46074
USA
2. Issuer Name and Ticker or Trading Symbol
Conseco, Inc.
CNC
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
December 31, 1998
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
(X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other
(specify below)
7. Individual or Joint/Group Reporting (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
<TABLE>
<CAPTION>
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
|Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock | | | | | |2,604,254 |D | |
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Common Stock | | | | | |280,000 |I |By Trust |
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Common Stock | | | | | |516,000 |I |By Trust |
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Common Stock | | | | | |87,579 |I |By Trust |
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Common Stock | | | | | |1,390 |I |By 401(k) Plan |
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<CAPTION>
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Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity | | | Amount | |ble | | | |Year |(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Options to Purchase (1)|$50.69 |5/14/|A |5,000 |A |(1) |5/13/|Common Stock|5,000 | |5,000 |D | |
| |98 | | | | |08 | | | | | | |
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Stock Units (2) |1-for-1 |3/31/|A |19,624.7 |A |(2) |(2) |Common Stock|19,624.| | |D | |
| |98 | | | | | | |7 | | | | |
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Stock Units (2) |1-for-1 |4/1/9|A |314.9 |A |(2) |(2) |Common Stock|314.9 | | |D | |
| |8 | | | | | | | | | | | |
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Stock Units (2) |1-for-1 |7/1/9|A |293.1 |A |(2) |(2) |Common Stock|293.1 | | |D | |
| |8 | | | | | | | | | | | |
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Stock Units (2) |1-for-1 |10/1/|A |533 |A |(2) |(2) |Common Stock|533 | | |D | |
| |98 | | | | | | | | | | | |
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Stock Units (2) |1-for-1 |1/4/9|A |531.1 |A |(2) |(2) |Common Stock|531.1 | |115,521.3 |D | |
| |9 | | | | | | | | | | | |
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Stock Units (3) | | | | | | | | | | |382,582 |D | |
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</TABLE>
Explanation of Responses:
(1) Granted under the Conseco, Inc. 1994 Stock and Incentive Plan. The options
become exercisable in five equal
annual installments beginning May 14, 1999.
(2) Granted under the Conseco, Inc. 1994 Stock and Incentive
Plan.
(3) Represents common stock units conditionally awarded under the Issuer's
Executive Deferred Compensation
Program as previously reported.
SIGNATURE OF REPORTING PERSON
/s/Donald F. Gongaware by Karl W. Kindig, Attorney-in-Fact
DATE
February 10, 1999
