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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 JR REVOCABLE TRUST C/O KANSAS CITY LIFE INSURANCE CO 3520 BROADWAY KANSAS CITY, MO 64111 |
 |  X |  |  |
Walter E. Bixby, Co-trustee, signed by William A. Schalekamp as power of attorney | 12/10/2009 | |
**Signature of Reporting Person | Date | |
Robert Philip bixby, co-trustee, signed by William A. Schalekamp as power of attorney | 02/10/2009 | |
**Signature of Reporting Person | Date | |
Angeline I. Bixby, Co-trustee | 02/10/2009 | |
**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) | Effective on December 31, 2008, pursuant to the mandatory provisions of the agreement of WEB Interests, Ltd. (the "Partnership"), (a) an indirect pecuniary interest in 61,666 shares of common stock, $1.25 par value of Kansas City Life Insurance Company ("Common Stock"), owned by the Partnership was transferred from the Walter E. Bixby, Jr. Revocable Trust dated July 28, 1999, as amended ("WEB Trust"), in its capacity as a Class C limited partner and a general partner of the Partnership to the Class B limited partners; and (b) an indirect pecuniary interest in 23 shares of Common Stock was transferred to the WEB Trust, in its capacity as Class A limited partner of the Partnership, from certain other partners; |
(2) | As a general partner of the Partnership, the WEB Trust with the co-trustees of the WEB Trust, each of whom is a general partner of the Partnership, shares the power to dispose of all of the 2,358,340 shares of Common Stock owned by the Partnership, but disclaims beneficial ownership in all but 1,860,160 shares owned by the Partnership as the WEB Trust only has a pecuniary interest in such shares; and |
(3) | 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. |