-----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, E9xQLRen0SL6KMdyTKHnpTmFoWgLc8y8qNeqx1xiEAG8ahB9v6SnxvJvjPeKC7NQ U0RZl0bG+TA8USYMh5t9jg== 0001209191-05-021796.txt : 20050422 0001209191-05-021796.hdr.sgml : 20050422 20050422153843 ACCESSION NUMBER: 0001209191-05-021796 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050421 FILED AS OF DATE: 20050422 DATE AS OF CHANGE: 20050422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEST MARK C CENTRAL INDEX KEY: 0001196837 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03722 FILM NUMBER: 05767422 BUSINESS ADDRESS: STREET 1: 1100 CIRCLE 75 PARKWAY STREET 2: SUITE 760 CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ATLANTIC AMERICAN CORP CENTRAL INDEX KEY: 0000008177 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 581027114 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4370 PEACHTREE RD NE CITY: ATLANTA STATE: GA ZIP: 30319 BUSINESS PHONE: 4042665500 MAIL ADDRESS: STREET 1: 4370 PEACHTREE ROAD CITY: ATLANTA STATE: GA ZIP: 30319 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-04-21 0 0000008177 ATLANTIC AMERICAN CORP AAME 0001196837 WEST MARK C 4370 PEACHTREE ROAD, N.E. ATLANTA GA 30319-3054 1 0 0 0 Common Stock 2005-04-21 4 P 0 1000 2.6875 A 17533 D Common Stock 127500 I By Atlantis Capital Option to Buy 2.6875 2005-04-21 4 D 0 1000 D 2000-11-02 2005-05-02 Cmn Stk 1000 2000 D Mr. West also has an indirect ownership of 127500 shares owned by Atlantis Capital LLP, for which Mr. West is the President of the General Partner (Genoa Realty Services, Inc.) Mr. West also holds options to buy 2000 shares of Common Stock granted under the Company's 1996 Non-Employee Director Stock Option Plan at exercise prices ranging from $1.90 to $2.68. Janie L. Ryan, POA 2005-04-22 -----END PRIVACY-ENHANCED MESSAGE-----