-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GJafWYI9iwQpJhaac9PgsX+kpZxis0Ryaumk9IoJ7VR5HECr9EDXvfEyZaptY/S8 BKd0Kl6MOAMGa2wmC52Kuw== 0000893750-99-000312.txt : 19990628 0000893750-99-000312.hdr.sgml : 19990628 ACCESSION NUMBER: 0000893750-99-000312 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990610 FILED AS OF DATE: 19990621 DATE AS OF CHANGE: 19990625 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AUTOMOBILE PROTECTION CORP APCO CENTRAL INDEX KEY: 0000833441 STANDARD INDUSTRIAL CLASSIFICATION: 8741 IRS NUMBER: 581582432 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-17231 FILM NUMBER: 99649757 BUSINESS ADDRESS: STREET 1: 15 DUNWOODY PK DR STE 100 CITY: ATLANTA STATE: GA ZIP: 30338 BUSINESS PHONE: 4043947070 COMPANY DATA: COMPANY CONFORMED NAME: FORD MOTOR CO CENTRAL INDEX KEY: 0000037996 STANDARD INDUSTRIAL CLASSIFICATION: 3711 OTHER IRS NUMBER: 380549190 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: THE AMERICAN RD CITY: DEARBORN STATE: MI ZIP: 48121 BUSINESS PHONE: 3133223000 3 1 OMB APPROVAL OMB Number: Expires: UNITED STATES SECURITIES AND EXCHANGE COMMISSION FORM 3 Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) 1. Name and Address of Reporting Ford Motor Company Person* (Last) (First) (Middle) The American Road, Suite 325, WHQ (Street) Dearborn Michigan 48121 (City) (State) (Zip) 2. Date of Event Requiring (Month/Day/Year) Statement 6/10/99 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Automobile Protection Corporation - APCO Trading Symbol ("APCO") FORM 3 (continued) 5. Relationship of Reporting ___ Director X 10% Owner Person(s) to Issuer ___ Officer (give ___ Other (specify (Check all applicable) title below) below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group _x_ Form filed by One Reporting Filing Person (Check Applicable Line) ___ Form filed by More than One Reporting Person 1. Title of Security Common Stock (Instr. 4) 2. Amount of Securities 1,971,836 Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or I Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial See (1). Ownership (Instr. 5) Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). (Over) SEC 1473 (7-96) Page 2 of 4 FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security Company Stock Option Agreement (2) (Instr. 4) 2. Date Exercisable and Expiration Date Date Exercisable (Month/Day/Year) Expiration Date 3. Title and Amount of Securities Title Underlying Derivative Security Common Stock (Instr. 4) Amount or Number of Shares 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5) Explanation of Responses: (1) The Reporting Person entered into a Stock Option and Tender Agreement with each of the two principal stockholders of the Issuer, Martin J. Blank and Larry I. Dorfman (the "Principal Company Stockholders"), dated as of June 10, 1999 (each a "Stock Option and Tender Agreement" and together, the "Stock Option and Tender Agreements") with respect to 1,971,836 shares (taking into account vested options held by the Principal Company Stockholders) (collectively, the "Stockholder Shares") of Common Stock ("Issuer Common Stock"), par value $.001 per share, of the Issuer. Pursuant to these agreements, each Principal Company Stockholder agreed, among other things, to tender (and not withdraw) their Stockholder Shares in the tender offer commenced by AM1 Acquisition Company, a wholly owned subsidiary of the Reporting Person, to vote, and provide each of the Reporting Person and AM1 Acquisition Company with an irrevocable proxy to vote, in favor of the merger contemplated by the Agreement and Plan of Merger dated as of June 10, 1999 among the Reporting Person, AM1 Acquisition Company and the Issuer, and granted to the Reporting Person an option to purchase such Shares, exercisable upon certain events. As a result of the Stock Option and Tender Agreements, the Reporting Person may be deemed to be, for purposes of Section 16 of the Securities and Exchange Act of 1934, as amended (the "Exchange Act"), a beneficial owner of such Stockholder Shares. (2) The Reporting Person also entered into a Stock Option Agreement with the Issuer, dated as of June 10, 1999 (the "Company Option Agreement"), pursuant to which, among other things, the Issuer has granted to the Reporting Person an irrevocable option to purchase 2,375,406 newly issued Shares, upon the terms and subject to the conditions of the Company Option Agreement, at a price of $13.00 per share. The option is exercisable upon the occurrence of certain events. The option is subject to material conditions (other than the passage of time or continued employment) that are not tied to the market price of an equity security of the Issuer. The Reporting Person disclaims any pecuniary interest in the shares of Issuer Common Stock issuable pursuant to such option. Page 3 of 4 June 21, 1999 ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 781(A) Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. By: /s/ Peter Sherry, Jr. ---------------------- Name: Peter Sherry, Jr. Title: Assistant Secretary Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 4 of 4 -----END PRIVACY-ENHANCED MESSAGE-----