0001181431-12-005388.txt : 20120202 0001181431-12-005388.hdr.sgml : 20120202 20120202180213 ACCESSION NUMBER: 0001181431-12-005388 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120131 FILED AS OF DATE: 20120202 DATE AS OF CHANGE: 20120202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kelly Mark A CENTRAL INDEX KEY: 0001517619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12117 FILM NUMBER: 12567259 MAIL ADDRESS: STREET 1: 5722 WEST HANOVER CITY: DALLAS STATE: TX ZIP: 75209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST ACCEPTANCE CORP /DE/ CENTRAL INDEX KEY: 0001017907 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 751328153 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3813 GREEN HILLS VILLAGE DRIVE CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-844-2800 MAIL ADDRESS: STREET 1: 3813 GREEN HILLS VILLAGE DRIVE CITY: NASHVILLE STATE: TN ZIP: 37215 FORMER COMPANY: FORMER CONFORMED NAME: LIBERTE INVESTORS INC DATE OF NAME CHANGE: 19960701 4 1 rrd332228.xml FORM 4 X0304 4 2012-01-31 0 0001017907 FIRST ACCEPTANCE CORP /DE/ FAC 0001517619 Kelly Mark A 5722 WEST HANOVER DALLAS TX 75209 0 1 0 0 Interim CEO & President Stock Option (right to buy) 1.45 2012-01-31 4 A 0 750000 0 A 2017-01-31 Common Stock 750000 750000 D This stock option vests 40% upon grant and the remainder vests in equal installments on each of January 31, 2013, 2014 and 2015. /s/ MARK A. KELLY 2012-02-01