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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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. | SEC 2270 (9-02) |
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 Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BIXBY WALTER E 3520 BROADWAY KANSAS CITY, MO 64111 |
 X |  X |  |  |
Walter E. Bixby, signed by William A. Schalekamp as power of attorney | 06/03/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | 1) Effective on December 31, 2004, pursuant to the mandatory provisions of the agreement of WEB Interests, Ltd., a Texas partnership (the "Partnership"), (a) an indirect pecuniary interest in 13,800 shares of common stock, $1.25 par value of Kansas City Life Insurance Company ("Common Stock"), owned by the Partnership were transferred from Mr. Bixby in his capacity as a co-trustee of the Walter E. Bixby, Jr. Revocable Trust dated July 28, 1999, as amended ("WEB Jr. Trust"), a Class C limited partner of the Partnership, to the Class B limited partners; (b) an indirect pecuniary interest in 1 share of Common Stock owned by the Partnership was transferred from Mr. Bixby, as a general partner in his individual capacity, to certain other partners, |
(2) | 1) (c) an indirect pecuniary interest in 4,645 shares were transferred to Mr. Bixby in his capacity as the sole trustee of each of the GST Walter E. Bixby, III Trust and the Issue Trust for Walter E. Bixby III (collectively, the "WEB III Trusts"), each as a Class B limited partner, from certain other partners, (d) an indirect pecuniary interest in 141 shares of Common Stock owned by the Partnership were transferred from Mr. Bixby in his capacity as a co-trustee of the WEB Jr. Trust, a general partner, to certain other partners, and (e) an indirect pecuniary interest in 8 shares of Common Stock owned by the Partnership were transferred to Mr. Bixby in his capacity as co-trustee of the WEB Jr. Trust from the general partners to the Class A limited partners; |
(3) | 2) As a general partner of the Partnership, Mr. Bixby shares with the WEB Jr. Trust (a general partner of the Partnership) and the other trustees of the WEB Jr. Trust (each of whom is also a general partner of the Partnership) the power to dispose of all of the 2,358,340 shares of Common Stock owned by the Partnership. These shares include: (a) 2,035,207 shares for which Mr. Bixby as a limited partner and a general partner of the Partnership, in his capacity as a co-trustee of the WEB Jr. Trust, has an indirect pecuniary interest, (b) 204 shares for which Mr. Bixby as an individual general partner of the Partnership has an indirect pecuniary interest, and (c) 107,507 shares for which Mr. Bixby as a limited partner, in his capacity as the sole trustee of each of the WEB III Trusts, has an indirect pecuniary interest; |
(4) | 3) As custodian for each of Walter E. Bixby, IV, Adam J. Bixby, and Kai M. Bixby under the Missouri Transfer to Minors law, Mr. Bixby has the sole power to dispose of 20,476 shares, but disclaims any pecuniary interest; |
(5) | 4) As a co-trustee of the Walter E. Bixby Descendants Trust with Angeline I. O'Connor and Robert Philip Bixby, Mr. Bixby shares the power to dispose of 375,975 shares of Common Stock; |
(6) | 5) These shares do not include beneficial ownership in any of Kansas City Life Insurance Company's benefit plans; and |
(7) | 6) As reported on a Schedule 13D filed by the Bixby family group with the Securities and Exchange Commission on November 2, 2004, the sole voting power for all the shares described herein is held by Mr. Lee M. Vogel pursuant to a Voting Agreement dated October 31, 2004. |