-----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, Sm8E1Mx1k65HIOIVSOHArHtjxlMbF1WT1jqaizzfiRiYoZA/JAdVHjZHG7HtdhbP OMPu9ag6swtXwVgB7n3xXg== 0001129787-04-000068.txt : 20040702 0001129787-04-000068.hdr.sgml : 20040702 20040702141631 ACCESSION NUMBER: 0001129787-04-000068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOURELL TODD F CENTRAL INDEX KEY: 0001269126 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19594 FILM NUMBER: 04899135 MAIL ADDRESS: STREET 1: TWO INTERNATIONAL PLACE, STREET 2: 25TH FLOOR CITY: BOSTON STATE: MA ZIP: 02110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSURANCE AUTO AUCTIONS INC /CA CENTRAL INDEX KEY: 0000880026 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MOTOR VEHICLES & MOTOR VEHICLE PARTS & SUPPLIES [5010] IRS NUMBER: 953790111 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 850 E ALGONQUIN RD STREET 2: STE 100 CITY: SCHAUMGURG STATE: IL ZIP: 60173 BUSINESS PHONE: 8478393939 MAIL ADDRESS: STREET 1: 850 E ALGONQUIN RD STREET 2: STE 100 CITY: SCHAUMGURG STATE: IL ZIP: 60173 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VA PARTNERS LLC CENTRAL INDEX KEY: 0001129787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19594 FILM NUMBER: 04899134 BUSINESS ADDRESS: STREET 1: 435 PACIFIC AVENUE STREET 2: FOURTH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94133 BUSINESS PHONE: 4153623700 MAIL ADDRESS: STREET 1: 435 PACIFIC AVENUE STREET 2: FOURTH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94133 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-06-30 0 0000880026 INSURANCE AUTO AUCTIONS INC /CA IAAI 0001269126 BOURELL TODD F TWO INTERNATIONAL PLACE 25TH FLOOR BOSTON MA 02110 1 0 1 0 0001129787 VA PARTNERS LLC 435 PACIFIC AVENUE FOURTH FLOOR SAN FRANCISCO CA 94133 0 0 1 0 Director Stock Option (right to buy) 17 2004-06-30 4 A 0 5000 0 A 2004-09-30 2014-06-30 Common Stock 5000 15000 D Options granted under 2003 Stock Incentive Plan. The options to buy shares of Insurance Auto Auctions, Inc. will become exercisable in 25% increments on 09/30/04, 12/31/04, 03/31/05 and 06/30/05. Column 8 is not a required reportable field. Under an agreement with ValueAct Capital Partners, L.P., Todd F. Bourell is deemed to hold the options for the benefit of ValueAct Capital Partners, L.P., ValueAct Capital Partners II, L.P. and ValueAct Capital International, Ltd. and indirectly for VA Partners, LLC as general partner of ValueAct Capital Partners, L.P. and ValueAct Capital Partners II, L.P. as the investment adviser of ValueAct Capital International, Ltd. Todd F. Bourell is a director of Insurance Auto Auctions, Inc and Member of VA Partners, LLC. Jeffrey W. Ubben, Peter H. Kamin and George F. Hamel are Managing Members of VA Partners, LLC, the General Partner of ValueAct Capital Partners, L.P. and ValueAct Capital Partners II, L.P. and investment adviser of ValueAct Capital International, Ltd. The reporting persons disclaim beneficial ownership of the reported options except to the extent of their pecuniary interest therein. Joint Filer Information Name: ValueAct Capital Partners, L.P. Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 Name: ValueAct Capital Partners II, L.P. Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 Name: ValueAct Capital International, Ltd. Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 Name: VA Partners, L.L.C. Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 Name: George F. Hamel, Jr. Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 Name: Jeffrey W. Ubben Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 Name: Peter H. Kamin Address: 435 Pacific Avenue, 4th Floor, San Francisco, CA 94133 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. Date of Event Requiring Statement: June 30, 2004 By: /s/ Todd F. Bourell 2004-07-02 VALUEACT CAPITAL PARTNERS, L.P., BY VA PARTNERS, L.L.C., ITS GENERAL PARTNER By: /s/ George F. Hamel, Jr. Managing Member 2004-07-02 VALUEACT CAPITAL PARTNERS II, L.P., BY VA PARTNERS, L.L.C., ITS GENERAL PARTNER By: /s/ George F. Hamel, Jr. Managing Member 2004-07-02 VALUEACT CAPITAL INTERNATIONAL, LTD., BY VA PARTNERS, L.L.C., ITS INVESTMENT MANAGER By: /s/ George F. Hamel, Jr. Managing Member 2004-07-02 VA PARTNERS, L.L.C. By: /s/ George F. Hamel, Jr. Managing Member 2004-07-02 By: /s/ Jeffrey W. Ubben 2004-07-02 By: /s/ George F. Hamel, Jr. 2004-07-02 By: /s/ Peter H. Kamin 2004-07-02 -----END PRIVACY-ENHANCED MESSAGE-----