-----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, LnSQfPxb7lulJtY8pC+dNigAyypZgQA8IgT0a3S9BDEU5eKL25Hicvv1mYzTzEs1 niJu52UIE04kFnftsEp4kA== 0001393477-09-000004.txt : 20090511 0001393477-09-000004.hdr.sgml : 20090511 20090511145418 ACCESSION NUMBER: 0001393477-09-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090501 FILED AS OF DATE: 20090511 DATE AS OF CHANGE: 20090511 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31434 FILM NUMBER: 09814293 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 5 1 primary_doc.xml PRIMARY DOCUMENT X0303 5 2009-05-01 0 0 0 0000724024 AMERICAN PHYSICIANS SERVICE GROUP INC amph 0001006427 SHIFRIN KENNETH S 15801 CHATEAU AUSTIN TX 78734 1 1 0 0 Chief Executive Officer Common Stock 2009-05-01 5 P 0 0 0 A 299000 D Common Stock 2009-05-01 5 P 0 367 18.66 A 70579 I By 401(k) Plan Common Stock 2009-05-01 5 P 0 0 0 A 3300 I By IRA Common Stock 2009-05-01 5 P 0 0 0 A 2400 I By IRA for spouse Common Stock 2009-05-01 5 P 0 0 0 A 1200 I For child Credited 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. /s/ Kenneth S. Shifrin 2009-05-11 -----END PRIVACY-ENHANCED MESSAGE-----