0001209191-11-059735.txt : 20111206 0001209191-11-059735.hdr.sgml : 20111206 20111206163503 ACCESSION NUMBER: 0001209191-11-059735 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111202 FILED AS OF DATE: 20111206 DATE AS OF CHANGE: 20111206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORD GERALD J CENTRAL INDEX KEY: 0001021572 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12117 FILM NUMBER: 111246131 MAIL ADDRESS: STREET 1: 200 CRESCENT CT STE 1350 CITY: DALLAS STATE: TX ZIP: 75201 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 c25622_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2011-12-02 0001017907 FIRST ACCEPTANCE CORP /DE/ FAC 0001021572 FORD GERALD J 200 CRESCENT COURT SUITE 1350 DALLAS TX 75201 0 0 1 0 Common Stock 2011-12-02 4 P 0 1038500 1.05 A 2268218 I By Turtle Creek Revocable Trust Common Stock 563728 D Common Stock 12319654 I By Hunter?s Glen/Ford, Ltd Mr. Gerald Ford is the settlor and sole trustee of Turtle Creek Revocable Trust. Mr. Gerald Ford is a general partner of Hunter's Glen/Ford, Ltd. and the sole stockholder of Ford Diamond Corporation, the other general partner of Hunter's Glen/Ford, Ltd. Mr. Gerald Ford disclaims beneficial ownership of the securities reported in this filing in excess of his pecuniary interest in such securities, if any, and this filing shall not be deemed an admission that he is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise, the beneficial owner of such securities. /s/ GERALD J. FORD 2011-12-05