0001209191-18-021292.txt : 20180322 0001209191-18-021292.hdr.sgml : 20180322 20180322173810 ACCESSION NUMBER: 0001209191-18-021292 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180311 FILED AS OF DATE: 20180322 DATE AS OF CHANGE: 20180322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gay Brent J CENTRAL INDEX KEY: 0001582376 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12117 FILM NUMBER: 18707793 MAIL ADDRESS: STREET 1: 3813 GREEN HILLS VILLAGE DRIVE CITY: NASHVILLE STATE: TN ZIP: 37215 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-11 0 0001017907 FIRST ACCEPTANCE CORP /DE/ FAC 0001582376 Gay Brent J 3813 GREEN HILLS VILLAGE DRIVE NASHVILLE TN 37215 0 1 0 0 Chief Financial Officer Common Stock 2018-03-11 4 F 0 6437 1.05 D 86.452 D Represents restricted stock units forfeited upon vesting to satisfy payroll withholding tax obligations. /S/ BRENT JAMES GAY 2018-03-22