-----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, S1Bbdc9kb+E/ujyJiECCF3+esjWavXvCRfHCTQ/yFt5OHn7UpVkV0mlYimsYzQGp pgVz6NR6odLXEyGJYQF73Q== 0000878897-03-000113.txt : 20031209 0000878897-03-000113.hdr.sgml : 20031209 20031209105237 ACCESSION NUMBER: 0000878897-03-000113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030918 FILED AS OF DATE: 20031209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN MEDICAL SECURITY GROUP INC CENTRAL INDEX KEY: 0000878897 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 391431799 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 BUSINESS PHONE: 9206611111 MAIL ADDRESS: STREET 1: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 FORMER COMPANY: FORMER CONFORMED NAME: UNITED WISCONSIN SERVICES INC /WI DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RIORDAN MICHAEL T CENTRAL INDEX KEY: 0001045404 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13154 FILM NUMBER: 031043848 BUSINESS ADDRESS: STREET 1: C/O AMERICAN MEDICAL SECURITY GROUP INC STREET 2: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 BUSINESS PHONE: 9206611111 MAIL ADDRESS: STREET 1: C/O AMERICAN MEDICAL SECURITY GROUP INC CITY: RICHMOND STATE: VA ZIP: 23219 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-09-18 0 0000878897 AMERICAN MEDICAL SECURITY GROUP INC AMZ 0001045404 RIORDAN MICHAEL T C/O AMERICAN MEDICAL SECURITY GROUP INC 3100 AMS BLVD GREEN BAY WI 54313 1 0 0 0 Common Stock 2003-09-18 4 P 0 490 21.39 A 490 I See Common Stock 2003-09-23 4 P 0 185 22.28 A 675 I See Common Stock 2003-09-24 4 P 0 229 22.61 A 904 I See Common Stock 2003-09-25 4 P 0 223 21.77 A 1127 I See Common Stock 2003-09-26 4 P 0 203 21.36 A 1330 I See Common Stock 5000 D By the Michael T. Riordan 1997 Trust. /s/ Michael T. Riordan 2003-12-03 -----END PRIVACY-ENHANCED MESSAGE-----