SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
DANIELS TERRENCE D

(Last) (First) (Middle)
QUAD-C MANAGEMENT, INC.
230 EAST HIGH STREET

(Street)
CHARLOTTESVILLE VA 22902

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/04/2004
3. Issuer Name and Ticker or Trading Symbol
ASSET ACCEPTANCE CAPITAL CORP [ AACC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, $0.01 par value per share 16,004,017 I By AAC Quad-C Investors LLC(1)(2)(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Option to buy (4) 02/04/2014 Common Stock, $0.01 par value per share 15,000 $15 D
Explanation of Responses:
1. AAC Quad-C Investors LLC is the direct beneficial owner of 16,004,017 shares of common stock of the issuer. Quad-C Partners VI, L.P. holds a 98.5222% membership interest in AAC Quad-C Investors LLC, and, as such, may be deemed to beneficially own 15,767,504 shares of the common stock held by AAC Quad-C Investors LLC. Quad-C Advisors VI, L.L.C. is the general partner of Quad-C Partners VI, L.P., and, as such, may be deemed to beneficially own 15,767,504 shares of the common stock held by AAC Quad-C Investors LLC. Mr. Daniels is a manager of AAC Quad-C Investors LLC. In addition, Mr. Daniels has an indirect membership interest in AAC Quad-C Investors LLC as a holder of a 30.84% membership interest in Quad-C Advisors VI, L.L.C.
2. Mr. Daniels disclaims beneficial ownership of these shares except the extent of his pecuniary interest in such shares, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all the reported shares for purposes of Section 16 or for any other purpose.
3. Mr. Daniels' adult children hold a combined 0.33888% membership interest in AAC Quad-C Investors LLC.
4. The options vest in two equal installments on February 4, 2005 and February 4, 2006.
Remarks:
/s/ Terrence D. Daniels 02/04/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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