0001209191-11-057850.txt : 20111123
0001209191-11-057850.hdr.sgml : 20111123
20111123113939
ACCESSION NUMBER: 0001209191-11-057850
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111115
FILED AS OF DATE: 20111123
DATE AS OF CHANGE: 20111123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FORD JEREMY B
CENTRAL INDEX KEY: 0001258665
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12117
FILM NUMBER: 111224262
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
3
1
c25188_3x0.xml
MAIN DOCUMENT DESCRIPTION
X0204
3
2011-11-15
0
0001017907
FIRST ACCEPTANCE CORP /DE/
FAC
0001258665
FORD JEREMY B
3813 GREEN HILLS VILLAGE DRIVE
NASHVILLE
TN
37215
1
0
0
0
Common Stock
1960365
D
Common Stock
12319654
I
by Hunter's Glen/Ford, Ltd.
Mr. Jeremy Ford is a beneficiary of a trust that owns a 46% limited partnership interest in Hunter's Glen/Ford, Ltd. Mr. Jeremy Ford disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
/s/ JEREMY B. FORD
2011-11-22