0001209191-12-008853.txt : 20120210 0001209191-12-008853.hdr.sgml : 20120210 20120210095629 ACCESSION NUMBER: 0001209191-12-008853 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120210 DATE AS OF CHANGE: 20120210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAUGHERTY JACK R CENTRAL INDEX KEY: 0000808867 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09733 FILM NUMBER: 12589939 MAIL ADDRESS: STREET 1: CASH AMERICA INTERNATIONAL INC STREET 2: 1600 W 7TH STREET CITY: FORTH WORTH STATE: TX ZIP: 76102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CASH AMERICA INTERNATIONAL INC CENTRAL INDEX KEY: 0000807884 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900] IRS NUMBER: 752018239 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 W 7TH ST CITY: FT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8173351100 MAIL ADDRESS: STREET 1: 1600 WEST 7TH STREET CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: CASH AMERICA INVESTMENTS INC /TX/ DATE OF NAME CHANGE: 19920520 5 1 doc5.xml FORM 5 SUBMISSION X0304 5 2011-12-31 0 0 0 0000807884 CASH AMERICA INTERNATIONAL INC CSH 0000808867 DAUGHERTY JACK R 1600 W. 7TH STREET FORT WORTH TX 76102 1 0 0 0 Common Stock, par value $.10 2011-01-12 5 W 0 2500 0.00 A 16822 D Common Stock, par value $.10 5214 I IRA Account /s/ Jack R. Daugherty 2012-02-10