-----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, Eq8YlOR879d4F1R9LVczHbuGhJ59PPxWIizZOCJQg6it6EfGVPNgU8rpejMJT6Mj t2m2Y2L3nF1XP76BaR+mGQ== 0001158957-10-000048.txt : 20100308 0001158957-10-000048.hdr.sgml : 20100308 20100308161002 ACCESSION NUMBER: 0001158957-10-000048 CONFORMED SUBMISSION TYPE: S-8 PUBLIC DOCUMENT COUNT: 5 FILED AS OF DATE: 20100308 DATE AS OF CHANGE: 20100308 EFFECTIVENESS DATE: 20100308 FILER: 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 FILING VALUES: FORM TYPE: S-8 SEC ACT: 1933 Act SEC FILE NUMBER: 333-165345 FILM NUMBER: 10663905 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 S-8 1 s8030310.htm S-8 AMERICAN PHYSICIANS SERVICE GROUP, INC.

As filed with the Securities and Exchange Commission on March 8, 2010

Registration No. 333-          

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_________________________


FORM S-8


REGISTRATION STATEMENT

UNDER THE SECURITIES ACT OF 1933

_________________________


AMERICAN PHYSICIANS SERVICE GROUP, INC.

(Exact name of Registrant as specified in its charter)


Texas
(State or other jurisdiction of
incorporation or organization)

75-1458323
(I.R.S. Employer
Identification No.)


1301 S. Capital of Texas Highway, Suite C-300

Austin, Texas  78746-6550

(Address of Principal Executive Offices)


2005 Incentive and Non-Qualified Stock Option Plan

of American Physicians Service Group, Inc.


American Physicians Service Group, Inc. Affiliated Group

Deferred Compensation Master Plan


(Full Title of the Plans)


Timothy L. LaFrey
1301 S. Capital of Texas Highway, Suite C-300
Austin, Texas  78746
(512) 328-0888

(Name, address and telephone number of agent for service)


Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):


Large accelerated filer ¨

 

Accelerated filer þ

Non-accelerated filer ¨

 

Smaller reporting company ¨

______________________

CALCULATION OF REGISTRATION FEE

Title of Securities

to be Registered

Amount to be Registered

Proposed Maximum Offering Price Per Share(2)

Proposed Maximum Aggregate Offering Price(2)

Amount of Registration

Fee

Common Stock to be registered in respect of the 2005 Incentive and Non-Qualified Stock Option Plan (1)

600,000

$24.00

$14,400,000

$1,026.72

Common Stock to be registered in respect of the Affiliated Group Deferred Compensation Master Plan (1)

100,000

$24.00

$2,400,000

$171.12


(1)

Upon a future stock split, stock dividend or similar transaction involving the common stock of the registrant and during the effectiveness of this registration statement, the number of securities registered shall be automatically increased to cover the additional securities in accordance with Rule 416(a) under the Securities Act of 1933.

(2)

Estimated solely for the purpose of determining the registration fee pursuant to Rule 457(c) and (h) under the Securities Act of 1933, based on average of the high and low price per common stock on March 1, 2010, as reported by the Nasdaq Capital Market.






EXPLANATORY NOTE


This Registration Statement relates solely to the registration of additional securities of the same class as other securities for which a registration statement on this form relating to the Registrant’s employee benefit plans is effective.  This Registration Statement is being filed to register (a) an additional 600,000 shares of common stock, par value $0.10 per share (“Common Stock”), available for issuance under the 2005 Incentive and Non-Qualified Stock Option Plan, as amended (the “Stock Option Plan”); and (b) an additional 100,000 shares of Common Stock available for issuance under the Affiliated Group Deferred Compensation Master Plan, as amended (the “Deferred Compensation Plan”).  On June 12, 2008, our shareholders approved amendments to the Stock Option Plan and the Deferred Compensation Plan, increasing the number of shares of Common Stock authorized for issuance under the Stock Option Plan from 650, 000 to 1,250,000, and increasing the number of shares of Common Stock authorized for issuance under the Deferred Compensation Plan from 150,000 to 250,000.


Pursuant to General Instruction E of Form S-8, this Registration Statement hereby incorporates by reference the contents of the registration statement on Form S-8 filed by the Registrant on April 26, 2006 (File No. 333-133544) and the registration statement on Form S-8 filed by the Registrant on April 4, 2007 (File No. 333-141887), each with respect to Registrant’s 2005 Incentive and Non-Qualified Stock Option Plan and Affiliated Group Deferred Compensation Master Plan.


Item 8.

Exhibits.


Exhibit No.

Description

 

 

5.1*

Opinion of Jessica Blacklock, general counsel of American Physicians Service Group, Inc., regarding legality of securities being registered (filed herewith).

 

 

23.1*

Consent of Deloitte & Touche LLP.

 

 

23.2*

Consent of BDO Seidman, LLP.

 

 

23.3*

Consent of Jessica Blacklock, general counsel of American Physicians Service Group, Inc. (included in the opinion filed as Exhibit 5.1 to this registration statement).

 

 

24.1*

Power of Attorney (included on the signature page of this registration statement).

_______________
*Filed herewith.








SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, as amended, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Austin, State of Texas, on March 8, 2010.


AMERICAN PHYSICIANS SERVICE GROUP, INC.


By:

/s/ Kenneth S. Shifrin

Kenneth S. Shifrin

Chairman of the Board and Chief Executive Officer


POWER OF ATTORNEY

Each person whose signature appears below hereby constitutes and appoints each of Kenneth S. Shifrin and W.H. Hayes with the power to act without the other, his or her true and lawful attorney-in-fact and agent with full power of substitution and resubstitution, for him or her in his or her name, place and stead, in any and all capacities, to sign on his or her behalf individually and in each capacity stated below any or all amendments or post-effective amendments to this registration statement, and to file the same, with all exhibits and other documents relating thereto, granting unto said attorney-in-fact and agent, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorney-in-fact and agent, or either of them, or their substitutes, may la wfully do or cause to be done by virtue hereof.


Pursuant to the requirements of the Securities Act of 1933, as amended, this registration statement has been signed by the following persons in the capacities indicated below on March 8, 2010.

Signature

 

Title(s)

 

Date

 

 

 

 

 

/s/ Kenneth S. Shifrin

 

Chairman of the Board and Chief Executive Officer

 

March 8, 2010

Kenneth S. Shifrin

 

(Principal Executive Officer)

 

 

 

 

 

 

 

/s/ Timothy L. LaFrey

 

President and Chief Operating Officer, Director

 

March 8, 2010

Timothy L. LaFrey

 

 

 

 

 

 

 

 

 

/s/ Marc J. Zimmermann

 

Senior Vice President – Finance, and Chief Financial

 

March 8, 2010

Marc J. Zimmermann

 

Officer (Principal Accounting Officer)

 

 

 

 

 

 

 

/s/ Norris C. Knight, Jr. M.D.

 

Director

 

March 8, 2010

Norris C. Knight, Jr. M.D.

 

 

 

 

 

 

 

 

 

/s/ Lew N. Little, Jr.

 

Director

 

March 8, 2010

Lew N. Little, Jr.

 

 

 

 

 

 

 

 

 

/s/ Jackie Majors

 

Director

 

March 8, 2010

Jackie Majors

 

 

 

 

 

 

 

 

 

/s/ William J. Peche, M.D.

 

Director

 

March 8, 2010

William J. Peche, M.D.

 

 

 

 

 

 

 

 

 

/s/ William A. Searles

 

Director

 

March 8, 2010

William A. Searles

 

 

 

 

 

 

 

 

 

/s/ Cheryl Williams

 

Director

 

March 8, 2010

Cheryl Williams

 

 

 

 








INDEX TO EXHIBITS


Exhibit No.

Description

 

 

5.1*

Opinion of Jessica Blacklock, general counsel of American Physicians Service Group, Inc., regarding legality of securities being registered (filed herewith).

 

 

23.1*

Consent of Deloitte & Touche LLP.

 

 

23.2*

Consent of BDO Seidman, LLP.

 

 

23.2*

Consent of Jessica Blacklock, general counsel of American Physicians Service Group, Inc. (included in the opinion filed as Exhibit 5.1 to this registration statement).

 

 

24.1*

Power of Attorney (included on the signature page of this registration statement).

_______________

*Filed herewith





EX-5 2 exhibit51.htm EXHIBIT 5.1 Exhibit 5.1

Exhibit 5.1

[exhibit51001.jpg]American Physicians Service Group, Inc.


March 8, 2010

Board of Directors
American Physicians Service Group, Inc.
1301 S. Capital of Texas Highway, Suite C-300
Austin, TX 78746-6550

Ladies and Gentlemen:

I am the General Counsel of American Physicians Service Group, Inc., a Texas corporation (the “Company”).  This opinion is furnished to you in connection with the registration, pursuant to a registration statement on Form S-8 (the “Registration Statement”) filed with the Securities and Exchange Commission under the Securities Act of 1933, as amended (the “Act”), of an aggregate of (a) 600,000 shares of the Company’s common stock, par value $0.10 per share (“Common Stock”), which will be issuable under the Company’s 2005 Incentive and Non-Qualified Stock Option Plan, as amended (the “2005 Plan”); and (b) 100,000 shares of Common Stock, which will be issuable under the Company’s Affiliated Group Deferred Compensation Master Plan, as amended (the “ Deferred Compensation Plan”).  The Common Stock being registered pursuant to the Registration Statement is referred to herein as the “Shares.”

I have examined originals or certified copies of such corporate records of the Company and other certificates and documents of officials of the Company, public officials and others as I have deemed appropriate for purposes of this letter.  I have assumed the genuineness of all signatures, the authenticity of all documents submitted to me as originals, the conformity to authentic original documents of all copies submitted to me as conformed and certified or reproduced copies.  For the purpose of the opinion rendered below, I have assumed that in connection with the issuance of the Shares, the Company will receive consideration in an amount not less than the aggregate par value of the Shares covered by each such issuance.

Based upon the foregoing and subject to the assumptions, exceptions, qualifications and limitations set forth hereinafter, I am of the opinion that the Shares, when issued pursuant to the terms of the 2005 Plan or the Deferred Compensation Plan, as applicable, will be duly authorized and validly issued and are fully paid and non-assessable.

The opinions and other matters in this letter are qualified in their entirety and subject to the following: I express no opinion as to the laws of any jurisdiction other than any published constitutions, treaties, laws, rules or regulations or judicial or administrative decisions of the State of Texas.

I hereby consent to the filing of this opinion as an exhibit to the Registration Statement.  In giving this consent, I do not thereby admit that I am within the category of persons whose consent is required under Section 7 of the Act and the rules and regulations thereunder.  

The opinions expressed above are given solely in my official capacity as General Counsel of the Company and not in any way in my individual or personal capacity, and with the understanding that I shall not be personally liable in any manner hereunder or in connection herewith.

Very truly yours,


/s/ Jessica Blacklock


Jessica Blacklock, General Counsel



1301 SOUTH CAPITAL OF TEXAS HIGHWAY SUITE C-300, AUSTIN, TEXAS 78746

Phone (800) 252-3628    fax (512) 314-4398   web www.amph.com


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Exhibit 23.1



CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM


We consent to the incorporation by reference in this Registration Statement on Form S-8 of our reports dated March 3, 2010, relating to the financial statements and financial statement schedules of American Physicians Service Group, Inc., and the effectiveness of American Physicians Service Group Inc.'s internal control over financial reporting, appearing in the Annual Report on Form 10-K of American Physicians Service Group, Inc. for the year ended December 31, 2009.


/s/ DELOITTE & TOUCHE LLP

 

Dallas, Texas

March 8, 2010




EX-23 5 exhibit232.htm EXHIBIT 23.2 Exhibit 23.2

Exhibit 23.2



Consent of Independent Registered Public Accounting Firm


American Physicians Service Group, Inc.

Austin, Texas

We hereby consent to the incorporation by reference in this Registration Statement on Form S-8 of our report dated March 3, 2009, relating to the consolidated financial statements and schedules of American Physicians Service Group, Inc. appearing in the Company’s Annual Report on Form 10-K for the year ended December 31, 2009.


/s/ BDO Seidman, LLP


Houston, Texas

March 8, 2010







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