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FORM 5 WASHINGTON, D.C. 20549 OMB APPROVAL
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ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB Number: 3235-0362
/ / Check box if no longer subject to Expires: January 31, 2005
Section 16. Form 4 or Form 5 Estimated average burden
obligations may continue. hours per response . . . . . 1.0
See Instruction 1(b). ---------------------------------
/ / Form 3 Holdings Reported 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
/ / Form 4 Transactions Reported
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1. Name and Address of Reporting 2. Issuer Name AND Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer
Person* (Check all applicable)
X Director __10% Owner
__Officer (give title below) __Other
Reinsurance Group of America, (specify below)
Peck William A. Incorporated (NYSE:RGA)
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(Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for
Washington University Number of Reporting Month/Year
Campus Box 8106 Person, if an entity
660 South Euclid Avenue (Voluntary) December 2002
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(Street) 5. If Amendment, 7. Individual or Joint/Group Reporting
Date of (check applicable line)
Original X Form Filed by One Reporting Person
(Month/Year) __Form Filed by More than One Reporting Person
St. Louis Missouri 63110-1093
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(City) (State) (Zip)
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of 2. Trans- 2A. Deemed 3. Trans- 4. Securities Acquired (A) or 5. Amount of 6. Ownership 7. Nature of
Security action Execu- action Disposed of (D) (Instr. 3, 4 Securities Form: Indirect
(Instr. 3) Date tion Code and 5) Beneficially Direct Beneficial
(Month/ Date, (Instr. Owned at the (D) or Ownership
Day/ if any 8) ------------------------------- end of Indirect (Instr. 4)
Year) (Month/ (A) or Issuer's (I)
Day/ Amount (D) Price Fiscal Year (Instr. 4)
Year) (Instr. 3
and 4)
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*If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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9. 10.
Number of Owner-
Deriv- ship
2. ative Form of
Conver- 5. 7. Secu- Deriv- 11.
sion Number of Title and Amount rities ative Nature
or 3A. Derivative 6. of Underlying 8. Bene- Secu- of
Exer- Deemed 4. Securities Date Securities Price ficially rity: In-
cise 3. Execu- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Owned Direct direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- at End (D) Bene-
1. of action Date, Code of (D) (Month/Day/Year) Amount ative of Year or In- ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secu- (Instr. direct Owner-
Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number rity 4) (I) ship
Security Secu- Day/ Day/ ------------ Exer- tion of (Instr. (Instr. (Instr.
(Instr. 3) rity Year) Year) (A) (D) cisable Date Title Shares 5) 4) 4)
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Stock $31.25 5/22/02 A 3,000 5/22/03 5/22/12 Common 3,000 3,000 D
Option Stock
(right to
purchase)
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Phantom 1-for-1 (1) A 30.6 (1) (1) Common 30.6 30.6 D
Stock Stock
Dividend
Equivalent
Right
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Explanation of Responses:
(1) Acquired on quarterly dividend record dates during 2002. Rights become
vested and expire proportionately with the phantom shares to which they
relate.
William L. Hutton December 10, 2002
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**Signature of Reporting Person Date
Attorney-in-fact
** 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 provided is insufficient, see Instruction 6 for procedure.
