-----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, LgIFfEC07qrZqiH+KhO2+PfhD/OJXqEXRlSk7GrclJIysdP04LHe0JmNTop/wioc nX7HhqpLGTi2LpC2UY8Tag== 0001393477-09-000006.txt : 20091006 0001393477-09-000006.hdr.sgml : 20091006 20091006173857 ACCESSION NUMBER: 0001393477-09-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091002 FILED AS OF DATE: 20091006 DATE AS OF CHANGE: 20091006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LaFrey Timothy L CENTRAL INDEX KEY: 0001393477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31434 FILM NUMBER: 091108845 MAIL ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HWY STREET 2: SUITE C 300 CITY: AUSTIN STATE: TX ZIP: 78746 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 2009-10-02 0 0000724024 AMERICAN PHYSICIANS SERVICE GROUP INC AMPH 0001393477 LaFrey Timothy L 1301 CAPITAL OF TEXAS HWY SUITE C 300 AUSTIN TX 78746 1 1 0 0 President/COO Common Stock Options 22.79 2009-10-02 4 A 0 25000 22.79 A 2011-10-02 2014-10-02 Common Stock 25000 115000 D /s/ Timothy L. LaFrey 2009-10-06 -----END PRIVACY-ENHANCED MESSAGE-----