-----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, VtnRu5BxfCpb6iXLTw6znmTkKsVOGKIL3O8AvmoHt8uzQfpiSZfb6Yv+xyF2XEk+ 4VcAo+SQxd/DdwZU4WKsaw== 0001209191-04-050316.txt : 20041101 0001209191-04-050316.hdr.sgml : 20041101 20041101125400 ACCESSION NUMBER: 0001209191-04-050316 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041028 FILED AS OF DATE: 20041101 DATE AS OF CHANGE: 20041101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shipp William A Jr CENTRAL INDEX KEY: 0001300149 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12117 FILM NUMBER: 041109000 BUSINESS ADDRESS: BUSINESS PHONE: 615-377-8595 MAIL ADDRESS: STREET 1: 9015 ENGLLISH WOOD COURT CITY: BRENTWOOD STATE: TN ZIP: 37027 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: 0630 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 doc4.xml FORM 4 SUBMISSION X0202 4 2004-10-28 0 0001017907 FIRST ACCEPTANCE CORP /DE/ FAC 0001300149 Shipp William A Jr 3813 GREEN HILLS VILLAGE DRIVE NASHVILLE TN 37215 1 0 0 0 Common Stock 2004-10-28 4 A 0 500 0.00 A 500 D /s/ William A. Shipp, Jr. 2004-10-28 -----END PRIVACY-ENHANCED MESSAGE-----