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