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FORM 5 |
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility |
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Check this box if no longer subject to |
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Form 3 Holdings Reported |
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Form 4 Transactions Reported |
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1. Name and Address of Reporting Person* Brown J. Hyatt |
2. Issuer Name and Ticker or Trading Symbol BRO |
6. Relationship of Reporting Person(s) to Issuer |
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X |
Director |
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10% Owner |
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Officer (give |
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Other (specify |
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Chairman and Chief Executive Officer |
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(Last) (First) (Middle) 213 Riverside Drive |
3. I.R.S. Identification
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4. Statement for Month/Year December/2002 |
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5. If Amendment, Date of
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X |
Form Filed by One Reporting Person |
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(Street) Ormond Beach FL 32176 |
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Form Filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security
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2. Trans- |
2A. Deemed |
3. Trans- |
4. Securities Acquired (A) or |
5. Amount of |
6. Owner- |
7. Nature of |
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Amount |
(A) or |
Price |
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Common Stock, $.10 par value |
12/3/02 |
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G |
2,245 |
D |
N/A |
18,335 |
D** |
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Common Stock, $.10 par value |
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10,870,664 |
I |
Limited Partnership |
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* |
If the form is filed by more than one reporting person, see instruction 4(b)(v). |
Persons who respond to the collection of information contained in |
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(Over) |
**Joint with Spouse
FORM 5 (continued) |
Table II ¾ Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Derivative
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2. Conver-
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3. Trans |
3A. Deem
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4. Trans- |
5. Number of Deriva- |
6. Date Exercis- |
7. Title and Amount of Underly- |
8. Price |
9. Number |
10. Owner-
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11. Nature of
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(A) |
(D) |
Date |
Expira- |
Title |
Amount or |
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Explanation of Responses: |
(1) Based upon information supplied as of 12/31/02 by the Plan's recordkeeper. Number of shares varies periodically based on contributions to the plan. |
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/S/ J. HYATT BROWN |
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1/28/03 |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
**Signature of Reporting Person |
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Date |
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See18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
J. Hyatt Brown |
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Note: File three copies of this Form, one of which must be manually signed. |
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Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
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Page 2 |
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SEC2270 (9-02) |
jahf:\admin\sec\brown\5_03.doc