UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported) December 4, 2003
21st Century Insurance Group
(EXACT NAME OF REGISTRANT AS SPECIFIED IN CHARTER)
Delaware 0-6964 95-1935264
(STATE OR OTHER JURISDICTION (COMMISSION (IRS EMPLOYER
OF INCORPORATION) FILE NUMBER) IDENTIFICATION NO)
6301 Owensmouth Avenue
Woodland Hills, California 91367
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES) (ZIP CODE)
Registrant's telephone number, including area code (818) 704-3700
Not Applicable
(FORMER NAME OR FORMER ADDRESS, IF CHANGED SINCE LAST REPORT)
ITEM 5. OTHER EVENTS AND REQUIRED FD DISCLOSURE.
On December 4, 2003, the Registrant issued a press release, attached as Exhibit
99.1, announcing that the reincorporation changing its state of incorporation
from California to Delaware became effective on that day.
ITEM 7. FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS
(a) Not applicable.
(b) Not applicable.
(c) Exhibits:
99.1 Press Release of the Registrant issued on December 3, 2003.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, as
amended. the registrant has duly caused this report to be signed on its behalf
by the undersigned hereunto duly authorized.
21ST CENTURY INSURANCE GROUP
Date: December 8, 2003 By: /s/ Michael J. Cassanego
---------------------------------
Name: Michael J. Cassanego
Title: Senior Vice President and General
Counsel
EXHIBIT INDEX
Exhibit No. Description
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99.1 Press Release of the Registrant, issued on December 4, 2003.