-----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, MphMoV0j1hKH4tyzgp5VJ8+i54MgEW85qOsvDZeKtTFZVXwvdRe7/NYX2bRkT5J/ 7aIWZGbJivcMLUtMs+hP9Q== 0001197941-04-000004.txt : 20040406 0001197941-04-000004.hdr.sgml : 20040406 20040406113243 ACCESSION NUMBER: 0001197941-04-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040216 FILED AS OF DATE: 20040406 ISSUER: 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 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAYES WILLIAM H CENTRAL INDEX KEY: 0001197941 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31434 FILM NUMBER: 04719555 BUSINESS ADDRESS: STREET 1: 1301 CAPITAL OF TX HWY CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 5123280800 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2004-02-16 0 0 0 0000724024 AMERICAN PHYSICIANS SERVICE GROUP INC AMPH 0001197941 HAYES WILLIAM H 0 1 0 0 Senior Vice President Common Stock 2004-02-16 5 J 0 589 9.55 A 78456 D Credited pursuant to annual allocations under 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. /s/ William H. Hayes 2004-04-06 -----END PRIVACY-ENHANCED MESSAGE-----