SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ANDERSON JOHN K JR

(Last) (First) (Middle)
1000 RIVERSIDE AVENUE
SUITE 800

(Street)
JACKSONVILLE FL 32204

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FPIC INSURANCE GROUP INC [ FPIC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/19/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 05/19/2011 M 15,000 A $8.6 25,200 D
Common Stock(1) 05/19/2011 M 7,500 A $9.799 32,700 D
Common Stock(1) 05/19/2011 M 7,500 A $8.133 40,200 D
Common Stock(1) 05/19/2011 M 7,500 A $17.933 47,700 D
Common Stock 05/19/2011 G 37,500(2) D $0 10,200 D
Common Stock 05/19/2011 G 37,500(2) A $0 45,000 I John K. Anderson, Jr. Family Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: 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
Director Stock Options (Dir. Stock Option Plan-right to buy)(3) $8.6 05/19/2011 M 15,000 06/06/2002(4) 06/06/2011 Common Stock 15,000 $0 0 D
Director Stock Options (Dir. Stock Option Plan-right to buy)(5) $9.799 05/19/2011 M 7,500 06/05/2003(6) 06/05/2012 Common Stock 7,500 $0 0 D
Director Stock Options (Dir. Stock Option Plan-right to buy)(7) $8.133 05/19/2011 M 7,500 06/04/2004(8) 06/04/2013 Common Stock 7,500 $0 0 D
Director Stock Options (Dir. Stock Option Plan-right to buy)(9) $17.933 05/19/2011 M 7,500 06/02/2005(10) 06/02/2014 Common Stock 7,500 $0 0 D
Explanation of Responses:
1. Issued pursuant to the Director Stock Plan
2. The reported transactions involved the reporting person's transfer of common stock to a living trust for the benefit of one or more members of this reporting person's immediate family.
3. Originally reported as 10,000 shares at an exercise price of $12.90, but was adjusted to reflect 3-for-2 stock split paid March 8, 2010.
4. The option vested in equal installments on June 6, 2002, 2003 and 2004.
5. Originally reported as 5,000 shares at an exercise price of $14.70, but was adjusted to reflect 3-for-2 stock split paid March 8, 2010.
6. The option vested in equal installments on June 5, 2003, 2004 and 2005.
7. Originally reported as 5,000 shares at an exercise price of $12.20, but was adjusted to reflect 3-for-2 stock split paid March 8, 2010.
8. The option vested in equal installments on June 4, 2004, 2005 and 2006.
9. Originally reported as 5,000 shares at an exercise price of $26.90, but was adjusted to reflect 3-for-2 stock split paid March 8, 2010.
10. The option vested in equal installments on June 2, 2005, 2006 and 2007.
Remarks:
T. Malcolm Graham, Attorney-in-Fact 05/20/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.