UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 16)*
KANSAS CITY LIFE INSURANCE COMPANY
(Name of Issuer)
COMMON STOCK $1.25 PAR VALUE
(Title of Class of Securities)
484836-10-1
(CUSIP Number)
Check the following box if
a fee is being paid with this statement [ ]. (A fee is not required only if the
filing person: (1) has a previous statement on file reporting beneficial
ownership of more than five percent of the class of securities described in Item
1; and (2) has filed no amendment subsequent thereto reporting beneficial
ownership of five percent or less of such class.)(See Rule 13d-7).
*The remainder of this
cover page shall be filled out for a reporting person’s initial filing on
this form with respect to the subject class of securities, and for any
subsequent amendment containing information which would alter the disclosures
provided in a prior cover page.
The information required in
the remainder of this cover page shall not be deemed to be “filed” for
the purpose of Section 18 of the Securities Exchange Act of 1934
(“Act”) or otherwise subject to the liabilities of that section of the
Act but shall be subject to all other provisions of the Act (however, see the
Notes).
Page 1 of 8 Pages
| CUSIP Number 484836-10-1 |
|
13G
|
| 1 |
Name of Report Person
|
| |
S.S. or I.R.S. Identification No. of Above Person
|
| |
Tracy W. Knapp and Mark A. Milton,
Trustees of the Kansas City Life Insurance Company Savings
and Profit Sharing Plan (the "SPSP")
|
| 2 |
Check the Appropriate Box if a Member of a Group*
|
| 4 |
Citizenship or Place of Organization
|
5 Sole Voting Power
Number of
0 (Participants may instruct the Trustees
Shares how to vote their shares)
Beneficially 6 Shared Voting Power
Owned by 0
Each 7 Sole Dispositive Power
Reporting 725,727 (Trustees have the power to sell
Plan assets)
Person
8 Shared Dispositive Power
With
0
| 9 |
Aggregate Amount Beneficially Owned by Each Reporting Person
|
| 10 |
Check Box if the Aggregate Amount in Row 9 Excludes Certain
Shares*
|
| 11 |
Percent of Class Represented by Amount in Row 9
|
| 12 |
Type of Reporting Person*
|
Page 2 of 8 Pages
| CUSIP Number 484836-10-1 |
|
13G
|
| 1 |
Name of Report Person
|
| |
S.S. or I.R.S. Identification No. of Above Person
|
| |
Tracy W. Knapp and Mark A. Milton,
Trustees of the Kansas City Life Employee Stock Plan
(the "ESOP")
|
| 2 |
Check the Appropriate Box if a Member of a Group*
|
| 4 |
Citizenship or Place of Organization
|
5 Sole Voting Power
Number of
0 (Participants may instruct the Trustees
Shares how to vote their shares)
Beneficially 6 Shared Voting Power
Owned by 0
Each 7 Sole Dispositive Power
Reporting 36,715 (Trustees have the power to sell
Plan assets)
Person
8 Shared Dispositive Power
With
0
| 9 |
Aggregate Amount Beneficially Owned by Each Reporting Person
|
| 10 |
Check Box if the Aggregate Amount in Row 9 Excludes Certain
Shares*
|
| 11 |
Percent of Class Represented by Amount in Row 9
|
| 12 |
Type of Reporting Person*
|
Page 3 of 8 Pages
| Item 1(a) |
Name of Issuer: |
| |
Kansas City Life Insurance Company (the "Company").
|
| Item 1(b) |
Address of Issuer's Principal Executive Offices:
|
| |
3520 Broadway, Kansas City, Missouri 64111-2565
|
|
Item 2(a)
|
Name of Person Filing:
|
| |
This Statement is being filed by Tracy W. Knapp and Mark A. Milton, Trustees ("Trustees") of
the Kansas City Life Insurance Company Savings and Profit Sharing Plan (the "SPSP") and Trustees of the Kansas
City Life Employee Stock Plan (the "ESOP"). The SPSP and the ESOP are collectively referred to as the "Plans".
The address of the Plans and the Trustees is 3520 Broadway, Kansas City, Missouri 64111-2565. Mr. Knapp is
Senior Vice President, Finance of the Company. Mr. Milton is Senior Vice President & Actuary of the Company. Each of the Trustees is
a full time employee of the Company.
|
|
Item 2(b)
|
Address of Principal Business Office, or if None, Residence:
|
| |
3520 Broadway, Kansas City, Missouri 64111-2565
|
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Item 2(d)
|
Title of Class of Securities:
|
| |
Common Stock, $1.25 par value (the "Stock")
|
|
Item 3
|
If this Statement is filed pursuant to Rules 13d-1(b) or 13d-2(b), check
whether the person filing is a:
|
| |
(f) [X] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement
Income Security Act of 1974 or Endowment Fund.
|
Page 4 of 8 Pages
| |
(a) |
Amount Beneficially Owned:
|
| |
(c) |
Number of Shares as to Which Such Person Has:
|
| |
|
(i)
|
Sole power to vote or direct the vote:
|
| |
|
(ii)
|
Shared power to vote or direct the vote:
|
| |
|
(iii)
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Sole power to dispose or direct the disposition of:
|
| |
|
(iv)
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Shared power to dispose or direct the disposition of:
|
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This
Statement shall not be construed as an admission that the SPSP, the ESOP, or the
Trustees of the respective Plans are, for the purposes of Section 13(d) or 13(g)
of the Securities Exchange Act of 1934, the beneficial owner of any securities
covered by this Statement. |
| Item 5 |
Ownership of Five Percent or Less of a Class:
|
| Item 6 |
Ownership of More than Five Percent on Behalf of Another Person:
|
| |
Participants
in the Plans have the individual right to withdraw shares of stock, or the
proceeds therefrom, from the Plans in accordance with and subject to the terms
and conditions of the Plans. No other person is known to have the right to
receive or the |
Page 5 of 8 Pages
| |
power to direct the receipt of dividends from, or
the proceeds from the sale of, the stock.
|
| Item 7 |
Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on by the
Parent Holding Company:
|
| Item 8 |
Identification and Classification of Members of the
Group:
|
| |
Each
of the SPSP and the SPSP Trustees, the ESOP and the ESOP Trustees, disclaims
beneficial ownership of the shares of common stock of the Company held by the
other. |
| |
There
are no agreements, arrangements, or understandings between or among the SPSP and
the SPSP Trustees, the ESOP and the ESOP Trustees, and any other person, party,
or group with respect to the acquisition, holding, voting, or disposition of the
stock. |
| Item 9 |
Notice of Dissolution of Group:
|
| |
By
signing below, the undersigned certify that, to the best of the
undersigned’s knowledge and belief, the securities referred to above were
acquired in the ordinary course of business and were not acquired for the
purpose of and do not have the effect of changing or influencing the control of
the issuer of such securities and were not acquired in connection with or as a
participant in any transaction having such purposes or effect. |
Material to be Filed as Exhibits:
| |
(a) |
The SPSP Plan document, Twenty-seventh Amendment, was filed as Exhibit 10(b) to the Company's Form 10-K for the period
ending December 31, 2001, and the ESOP Plan document, Thirteenth Amendment, was filed As Exhibit 10(c) to
the Company's Form 10-K for the period ending December 31, 2001.
|
Page 6 of 8 Pages
Signature
| |
After
reasonable inquiry and to the best of my knowledge and belief, I certify that
the information set forth in this Statement is true, complete, and correct. |
| |
KANSAS CITY LIFE INSURANCE COMPANY |
| |
SAVINGS AND PROFIT SHARING PLAN |
| |
/s/ Tracy W. Knapp |
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Tracy W. Knapp, Trustee |
| |
/s/ Mark A. Milton |
| |
Mark A. Milton, Trustee |
| |
ATTENTION: INTENTIONAL MISSTATEMENTS OR
OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL
VIOLATIONS (See 18 U.S.C. 1001) |
Page 7 of 8 Pages
Signature
| |
After
reasonable inquiry and to the best of my knowledge and belief, I certify that
the information set forth in this Statement is true, complete, and correct. |
| |
|
| |
Date: February 11, 2005 |
| |
KANSAS CITY LIFE |
| |
EMPLOYEE STOCK PLAN |
| |
/s/ Tracy W. Knapp |
| |
Tracy W. Knapp, Trustee |
| |
/s/ Mark A. Milton |
| |
Mark A. Milton, Trustee |
| |
ATTENTION: INTENTIONAL MISSTATEMENTS OR
OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL
VIOLATIONS (See 18 U.S.C. 1001) |
Page 8 of 8 Pages