0001209191-17-031654.txt : 20170511
0001209191-17-031654.hdr.sgml : 20170511
20170511192822
ACCESSION NUMBER: 0001209191-17-031654
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170509
FILED AS OF DATE: 20170511
DATE AS OF CHANGE: 20170511
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: 1231
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Russell Kenneth D
CENTRAL INDEX KEY: 0001498530
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12117
FILM NUMBER: 17835961
MAIL ADDRESS:
STREET 1: 200 CRESCENT COURT
STREET 2: SUITE 1350
CITY: DALLAS
STATE: TX
ZIP: 75201
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-09
0
0001017907
FIRST ACCEPTANCE CORP /DE/
FAC
0001498530
Russell Kenneth D
3813 GREEN HILLS VILLAGE DRIVE
NASHVILLE
TN
37215
1
1
0
0
Chief Executive Officer
Common Stock
2017-05-09
4
A
0
1000
0.00
A
64000
D
Common Stock
2017-05-09
4
A
0
500000
0.00
A
564000
D
Awarded pursuant to the Amended and Restated 2002 Long Term Incentive Plan for service as a director for fiscal 2017.
Represents restricted stock units granted to the reporting person. Such restricted stock units will vest, and an equal number of shares of common stock will be deliverable to the reporting person, upon the third anniversary of the date of grant, May 9, 2020, or immediately upon the earlier occurrence of events specified in the reporting person's restricted stock unit award agreement, including a "change in control" of First Acceptance Corporation.
/s/ KENNETH D. RUSSELL
2017-05-11