FORM 5

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

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
Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

  


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Check this box if no longer subject to
Section 16. Form 4 or Form 5 obli-
gations may continue. See Instruc-
tion 1(b).

 

  

[   ] 

Form 3 Holdings Reported

 

[   ] 

Form 4 Transactions Reported

 

 

1. Name and Address of Reporting Person*          




Bridges           C.              Roy 

2. Issuer Name and Ticker or Trading Symbol

Brown & Brown, Inc. (BRO) 

6. Relationship of Reporting Person(s) to Issuer
                  (Check all applicable)

 

Director

 

10% Owner

 X

Officer (give
title below)

 

Other (specify
below)

Regional Executive Vice President

(Last)                    (First)                (Middle)

401 E. Jackson St., Ste. 1700

3. I.R.S. Identification
   Number of Reporting
   Person, if an entity
   (Voluntary)

 

4. Statement for Month/Year

 


7. Individual or Joint/Group Reporting
              (check applicable line)

5. If Amendment, Date of
    Original (Month/Year)

 

   X

Form Filed by One Reporting Person

(Street)

 Tampa          FL         33602

   

Form Filed by More than One Reporting Person

(City)                      (State)                  (Zip)

Table I  ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
    (Instr. 3)

 

2. Trans-
    action
    Date
   (Month/
    Day/
   Year)

2A. Deemed
      Execu-
      tion
      Date, if
      any
     (Month/
      Day/
      Year)

3. Trans-
    action
    Code
    (Instr.8)

4. Securities Acquired (A) or
    Disposed of (D)
    (Instr. 3, 4 and 5)

5. Amount of
    Securities Ben-
    eficially Owned
    at end of
    Issuer's Fiscal
    Year
    (Instr. 3 and 4)

6. Owner-
    ship
    Form: Di-
    rect (D)
    or Indi-
    rect (I)
    (Instr. 4)

7. Nature of
    Indirect
    Beneficial
    Ownership
    (Instr. 4)

Amount

  (A) or
  (D)

Price

Common Stock, $.10 par value

 

 

 

 1,228(1)

A

N/A

  7,334**

D

 

Common Stock, $.10 par value

 

 

 

 

 

 

41,186

D

 

Common Stock, $.10 par value

 

 

 

 

 

 

97,400

I

Stock Performance Plan(2)

Common Stock, $.10 par value

 

 

 

 

 

 

21,327

I

401(k) Plan (3)

Common Stock, $.10 par value

 

 

 

 

 

 

  1,705

I

Spouse***

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*

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
this form are not required to respond unless the form displays a
currently valid OMB control number.

     

(Over)
SEC2270 (9-02)

 


 

FORM 5 (continued)

Table II  ¾ Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative
    Security (Instr. 3)

 

2. Conver-
    sion or
    Exercise
    Price of
    Deriva-
    tive Sec-
    urity

 

3. Trans
    -action
    Date
   (Month/
    Day/
    Year)

3A. Deem
      -ed Ex-
      ecution
      Date, if
      any
     (Month/
       Day/
       Year)

 

4. Trans-
    action
    Code
    (Instr.8)

5. Number of Deriva-
    tive Securities Ac-
    quired (A) or Dis-
    posed of (D)
    (Instr. 3, 4 and 5)

6. Date Exercis-
    able and Expi-
    ration Date
    (Month/Day/
     Year)

7. Title and Amount of Underly-
    ing Securities
    (Instr. 3 and 4)

8. Price
    of
    De-
    riva-
    tive
    Secu-
    rity
 (Instr. 5)

9. Number
   of De-
   rivative
   Securi-
   ties Ben-
   eficially
   Owned
   at End of
   Year
   (Instr. 4)

10. Owner-
      ship of
      Deriva-
      tive Se-
      curity:
      Direct
      (D) or
      Indirect
      (I)
      (Instr. 4)

 

11. Nature of
     Indirect
     Benefi-
     cial
     Owner-
     ship
     (Instr. 4)

 

(A)

(D)

  Date
  Exer-
  cisable

  Expira-
  tion
  Date

Title

 Amount or
 Number of
 Shares

 Stock Options(a)

9.6719(b)

 

 

 

 

 

  4/21/01

4/20/10

Common Stock

  10,340

 

 

D

N/A

 

 

 

 

 

 

 

 4/21/02

4/20/10 

Common Stock 

  10,340

 

 

 

 

 

 

 

 

 

 

 

 4/21/03(d)

 4/20/10

 Common Stock

143,964

 

 

 

 

 

 

 

 

 

 

 

 4/21/04(d)

 4/20/10

 Common Stock

  10,340

 

 

 

 

 

 

 

 

 

 

 

 4/21/05(d)

 4/20/10

 Common Stock

  10,340

 

 

 

 

 

 

 

 

 

 

 

 4/21/06(d)

 4/20/10

 Common Stock

  10,340 

 

 195,664(c)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

Explanation of Responses:

**Owned jointly with spouse.

***Reporting Person disclaims beneficial ownership in shares owned by spouse of Reporting  Person.

(1)  Acquired through the Company’s Employee Stock Purchase Plan.  Number of shares may reflect reinvested dividends.

(2)  These securities were awarded at various dates pursuant to the Company’s Stock Performance Plan based upon the satisfaction of conditions contained in that Plan.  The recipient has voting rights and dividend entitlement with respect to these shares, but full ownership will not vest until the satisfaction of additional conditions.

(3) Based upon information supplied as of 12/31/02 by the Plan’s recordkeeper.  Number of shares varies periodically based on contributions to plan.

  (a) Granted by the Compensation Committee of the Board Directors pursuant to the Company's 2000 Incentive Stock Option Plan (the "Plan") effective April 21, 2000.  Consideration for granted options is grantee's performance and continued service with Company as specified in the Plan.

  (b)   The original exercise price per share of $38.6875 was adjusted to reflect the two-for-one stock splits effective August 23, 2000, and November 21, 2001, respectively.

  (c)  Amount represents original grant of options to buy 48,916 shares of Company's common stock, after adjustment to reflect two-for-one stock splits effective August 23, 2000 and November 21, 2001, respectively.

  (d)   Vesting of these options will be accelerated based on satisfaction of conditions established pursuant to the Plan, so that 143,964 options will vest and become exercisable on 4/21/03, and an additional 10,340 will vest on each of 4/21/04, 4/21/05 and 4/21/06.

 

 

 

 

          

 

 

 

 

 

 

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations.

**Signature of Reporting Person

          

Date

 

See18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

    C. ROY BRIDGES

          

                                

 

Note: File three copies of this Form, one of which must be manually signed.
         If space is insufficient, see Instruction 6 for procedure.

 

     

 

 

 

 

     

 

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SEC2270 (9-02)