-----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, BXe3hd2JOIs8whAbxur+PKp42tclKpd5kd8qLKJtOAM1Nf1KD32bug0K+Ms5nMyZ /xFU/cx+sklEH8IyOAmXNw== 0001209191-06-045362.txt : 20060810 0001209191-06-045362.hdr.sgml : 20060810 20060810153526 ACCESSION NUMBER: 0001209191-06-045362 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060630 FILED AS OF DATE: 20060810 DATE AS OF CHANGE: 20060810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harrison Thomas Marshall Jr CENTRAL INDEX KEY: 0001289186 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12117 FILM NUMBER: 061021176 BUSINESS ADDRESS: BUSINESS PHONE: 615-844-2901 MAIL ADDRESS: STREET 1: 3813 GREEN HILLS VILLAGE DRIVE CITY: NASHVILLE STATE: TN ZIP: 37215 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 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2006-06-30 0 0 0 0001017907 FIRST ACCEPTANCE CORP /DE/ FAC 0001289186 Harrison Thomas Marshall Jr 3813 GREEN HILLS VILLAGE DRIVE NASHVILLE TN 37215 1 1 1 0 Executive Vice President Common Stock 2006-05-22 5 G 0 6999999 D 6999999 I By GRAT Represents shares contributed by Mr. Harrison to the Thomas M. Harrison, Jr. 2006 Grantor Retained Annuity Trust. N/A /s/ Thomas M. Harrison, Jr. 2006-08-09 -----END PRIVACY-ENHANCED MESSAGE-----