-----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, AkSPFCQiv4Ponv6br/wQmygeWcHQ7bstFOkZ7w3q1EZrjywderZPZaDRr9flI4zp uBqw5mT31vxf+XaSUMhTgw== 0001006427-10-000001.txt : 20100416 0001006427-10-000001.hdr.sgml : 20100416 20100416142319 ACCESSION NUMBER: 0001006427-10-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100416 FILED AS OF DATE: 20100416 DATE AS OF CHANGE: 20100416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHIFRIN KENNETH S CENTRAL INDEX KEY: 0001006427 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31434 FILM NUMBER: 10754403 MAIL ADDRESS: STREET 1: 15801 CHATEAU CITY: AUSTIN STATE: TX ZIP: 78734 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN PHYSICIANS SERVICE GROUP INC CENTRAL INDEX KEY: 0000724024 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 751458323 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 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: AUSTIN STATE: TX ZIP: 78746 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2010-04-16 0 0000724024 AMERICAN PHYSICIANS SERVICE GROUP INC amph 0001006427 SHIFRIN KENNETH S 15801 CHATEAU AUSTIN TX 78734 1 1 1 0 Chief Executive Officer Common Stock 2010-04-16 4 F 0 0 0 A 302842 D Common Stock 2010-04-16 4 P 0 358 23.93 A 70936 I By 401(k) Plan. Common Stock 2010-04-16 4 P 0 0 0 A 3300 I By IRA Common Stock 2010-04-16 4 P 0 0 0 A 2400 I By IRA for spouse Common Stock Options 0 2010-04-16 4 J 0 0 0 A 2009-10-02 2014-10-02 Common Stock 0 85000 D Created pursuant to annual allocations under the terms of the APSG, Inc. Profit Sharing Plan. Information reported herein is based on the latest available participant statement as prepared by the Plan Trustee. Amended filing dated October 6, 2009 incorrectly reported Number of Derivative Securities Beneficially Owned as 47,500. /s/ Kenneth S. Shifrin 2010-04-16 -----END PRIVACY-ENHANCED MESSAGE-----