-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ts5lYf/as109cCloH655WCI/tojvk9K72Yt+q2eqg4xgxLjVd2lDzuGXeNM+hr5E u3jV03862rXo1cpZ2QlY7Q== 0001209191-08-017974.txt : 20080313 0001209191-08-017974.hdr.sgml : 20080313 20080313160048 ACCESSION NUMBER: 0001209191-08-017974 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20070705 FILED AS OF DATE: 20080313 DATE AS OF CHANGE: 20080313 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN PHYSICIANS CAPITAL INC CENTRAL INDEX KEY: 0001118148 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 383543910 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1301 NORTH HAGADORN ROAD CITY: EAST LANSING STATE: MI ZIP: 48823 BUSINESS PHONE: 5173511150 MAIL ADDRESS: STREET 1: 1301 NORTH HAGADORN ROAD CITY: EAST LANSING STATE: MI ZIP: 48823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MUKKAMALA APPARAO CENTRAL INDEX KEY: 0001210375 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-32057 FILM NUMBER: 08686234 BUSINESS ADDRESS: STREET 1: 1301 NORTH HAGADORN ROAD CITY: EAST LANSING STATE: MI ZIP: 48823 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0202 4/A 2007-07-05 2007-07-06 0 0001118148 AMERICAN PHYSICIANS CAPITAL INC ACAP 0001210375 MUKKAMALA APPARAO 1301 NORTH HAGADORN RD EAST LANSING MI 48823 1 0 0 0 Common Stock 2007-07-05 4 S 0 100 40.50 D 1000 I Mukkamala Family Foundation Common Stock 11500 I Mukkamala Family Partnership Common Stock 28000 I AppaRao Mukkamala Trust Common Stock 1500 D Report amended to correct the number of shares held by Mukkamala Family Foundation. Dr. Mukkamala has no pecuniary interest in the shares held by the Foundation and disclaims beneficial ownership of such shares. The amount of securities beneficially owned has been adjusted to reflect the Company's three-for-two stock split payable on November 1, 2006. Also adjusted to reflect corrected number of shares held indirectly in Mukkamala Family Partnership as of July 5,2007. The amount of securities beneficially owned has been adjusted to reflect the Company's three-for-two stock split payable on November 1, 2006. Also adjusted to reflect corrected number of shares held indirectly in AppaRao Mukkamala Trust as of July 5,2007. The amount of securities beneficially owned has been adjusted to reflect the Company's three-for-two stock split payable on November 1, 2006. Also adjusted to reflect corrected number of shares held directly as of July 5,2007. /s/ Ann M. Storberg as Attorney-in-Fact 2008-03-13 EX-24.4A_231221 2 poa.txt POA DOCUMENT LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned constitutes and appoints Ann M. Storberg and Nancy J. Axtell the undersigned's true and lawful attorney-in-fact and agent, with full power of substitution, and resubstitution for the undersigned and in the undersigned's name, place and stead, in any and all capacities, to: (1) execute for and on behalf of the undersigned Forms 3, 4 and 5 and all other forms that may be required to be filed by the undersigned from time to time under Section 16(a)of the Securities Exchange Act of 1934 and the rules promulgated thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute such forms and timely file such forms with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to such attorney-in-fact full power and authority to do and perform each and every act and thing requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do in person, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact and agents, or any of them, or their or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof. The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, nor is American Physicians Capital, Inc. assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 or any other forms under Section 16(a) of the Securities Exchange Act of 1934, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 22nd day of October, 2002. /s/ AppaRao Mukkamala (signature) AppaRao Mukkamala (print name) -----END PRIVACY-ENHANCED MESSAGE-----