-----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, BMmpXfQsT4aFBfI6TOmfH5vM28vvKzrMOylNQzyclh5XDzqvAMURkGW53iYr2i++ hMy/2PaoYRoELEvPCm/73g== 0001006426-96-000006.txt : 19960216 0001006426-96-000006.hdr.sgml : 19960216 ACCESSION NUMBER: 0001006426-96-000006 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN PHYSICIANS SERVICE GROUP INC CENTRAL INDEX KEY: 0000724024 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 751458323 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-34696 FILM NUMBER: 96518278 BUSINESS ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HWY STREET 2: C-300 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 5123280888 MAIL ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HIGHWAY CITY: AUTIN STATE: TX ZIP: 78746 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: APSG INC PROFIT SHARING PLAN CENTRAL INDEX KEY: 0001006426 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 742657603 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HWY STREET 2: #C 300 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 5123280888 MAIL ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HWY STREET 2: #C 300 CITY: AUSTIN STATE: TX ZIP: 78746 SC 13G 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No.______ )* AMERICAN PHYSICIANS SERVICE GROUP, INC. --------------------------------------- (Name of Issuer) Common Stock, par value $.10 per share -------------------------------------- (Title of Class of Securities) 028882108 ------------- (CUSIP Number) Check the following box if a fee is being paid with the statement . X ----- (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of less than five percent of such class. See Rule 13d-7. *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 028882108 13D Page 2 of 4 Pages -- -- 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person APSG, Inc. 401(k) Profit Sharing Plan IRS ID #22-2370029 2 Check the Appropriate Box if a Member of a Group* (a) ----- N/A (b) ----- 3 SEC USE ONLY 4 Citizenship or Place of Organization Lerisa Plan of Texas Organization 5 Sole Voting Power Number of 211,682 Shares Beneficially 6 Shared Voting Power Owned By 211,682 Each Reporting 7 Sole Dispositive Power Person With 8 Shared Dispositive Power 9 Aggregate Amount Beneficially Owned by Each Reporting Person 211,682 10 Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* ----- N/A 11 Percent of Class Represented by Amount in Row (9) 5.33% 12 Type of Reporting Person* EP *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 3 of 4 Pages -- -- Item 1.(a) Name of Issuer: AMERICAN PHYSICIANS SERVICE GROUP, INC. (b) Address of Issuer: 1301 Capital of Texas Highway, Suite C-300 Austin, Texas 78746 Item 2.(a) Name of Person Filing: APSG, Inc. 401(k) Profit Sharing Plan (b) Address: 1301 Capital of Texas Highway, Suite C-300 Austin, Texas 78746 (c) Citizenship: ERISA Plan of Texas Corporation (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 028882108 Item 3. This statement is filed pursuant to Rule 13d-1 (b), or 13d-2 (b) and the person filing is an employee benefit plan, pension fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or endowment fund; see 240.13d-1(b)(1)(ii)(F). Item 4. OWNERSHIP. (a) 211,682 (b) 5.33 (c) Number of shares as to which such person has: (i) 211,682 (ii) None. (iii) 211,682 (iv) None. Item 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. N/A Item 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. N/A Item 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. N/A Item 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. N/A Item 9. NOTICE OF DISSOLUTION OF THE GROUP. N/A Page 4 of 4 Pages -- -- Item 10. CERTIFICATION. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. ________________________ Date ________________________ Signature ________________________ Name/Title -----END PRIVACY-ENHANCED MESSAGE-----