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