-----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, Ho85j88IqWEaR17QUNDjxZNL7afn50q5Qy8sjCjrPoMbJXFfM4uotH5KYYJHCjXx 5IQ4E5smTnxeG7MHiAGILQ== 0001209191-09-053880.txt : 20091120 0001209191-09-053880.hdr.sgml : 20091120 20091120182856 ACCESSION NUMBER: 0001209191-09-053880 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091118 FILED AS OF DATE: 20091120 DATE AS OF CHANGE: 20091120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harrison Stephen Joe CENTRAL INDEX KEY: 0001289187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12117 FILM NUMBER: 091199906 MAIL ADDRESS: STREET 1: 5054 HILL PLACE DRIVE CITY: NASHVILLE STATE: TN ZIP: 37205 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: 3322 WEST END AVENUE STREET 2: SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 615-844-2800 MAIL ADDRESS: STREET 1: 3322 WEST END AVENUE STREET 2: SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37203 FORMER COMPANY: FORMER CONFORMED NAME: LIBERTE INVESTORS INC DATE OF NAME CHANGE: 19960701 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-11-18 0 0001017907 FIRST ACCEPTANCE CORP /DE/ FAC 0001289187 Harrison Stephen Joe 3322 WEST END AVENUE SUITE 1000 NASHVILLE TN 37203 1 1 1 0 Chief Executive Officer Common Stock 2009-11-18 4 A 0 22827 A 7070866 D Employee Stock Option (Right to Buy) 6.64 2009-11-18 4 D 0 100000 D 2014-04-30 Common Stock 100000 0 D On November 18, 2009, the issuer canceled, pursuant to a value-for-value option exchange, an option granted to the reporting person on April 30, 2004. In exchange for the option, the reporting person received 22,827 shares of restricted stock. The canceled option provided for 20% vesting on April 30, 2005 and 1-2/3% vesting on the last day of each month thereafter. /s/Stephen J. Harrison 2009-11-20 -----END PRIVACY-ENHANCED MESSAGE-----