-----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, PchlgFTi6yeKkR8H+8dGTU1LLOQoWdv01o2/KaGWrrHfkwRXwbSck68/RNFt5Ja6 P51F9DecUO3UZu+OtJw3MQ== 0001209191-10-045609.txt : 20100909 0001209191-10-045609.hdr.sgml : 20100909 20100909160223 ACCESSION NUMBER: 0001209191-10-045609 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100907 FILED AS OF DATE: 20100909 DATE AS OF CHANGE: 20100909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOSS DONALD A CENTRAL INDEX KEY: 0000901185 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20202 FILM NUMBER: 101064488 MAIL ADDRESS: STREET 1: 25505 WEST TWELVE MILE ROAD STREET 2: SUITE 3000 CITY: SOUTHFIELD STATE: MI ZIP: 48034-8339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CREDIT ACCEPTANCE CORP CENTRAL INDEX KEY: 0000885550 STANDARD INDUSTRIAL CLASSIFICATION: PERSONAL CREDIT INSTITUTIONS [6141] IRS NUMBER: 381999511 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 25505 WEST TWELVE MILE ROAD CITY: SOUTHFIELD STATE: MI ZIP: 48034-8334 BUSINESS PHONE: 2483532700 MAIL ADDRESS: STREET 1: 25505 WEST TWELVE MILE ROAD CITY: SOUTHFIELD STATE: MI ZIP: 48034-8334 FORMER COMPANY: FORMER CONFORMED NAME: CREDIT ACCEPTANCE CORPORATION DATE OF NAME CHANGE: 19930328 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-09-07 0 0000885550 CREDIT ACCEPTANCE CORP CACC 0000901185 FOSS DONALD A 25505 WEST TWELVE MILE ROAD SOUTHFIELD MI 48034 1 1 1 0 Chairman Common Stock 2010-09-07 5 G 0 E 121735 0.00 A 4766191 D Common Stock 2010-09-07 5 G 0 E 121735 0.00 D 1499839 I By son through grantor retained annuity trust Common Stock 5098149 I By ex-wife's trust Common Stock 83166 I By limited liability company Common Stock 2776187 I By daughter's trust Common Stock 1621574 I By daughter through grantor retained annuity trust On September 3, 2009, the reporting person contributed 2,000,000 shares of Credit Acceptance common stock to a grantor retained annuity trust for the benefit of himself as annuitant and his minor child as remainderman. Shares are owned of record by Karol A. Foss, as Trustee of the Karol A. Foss Revocable Trust Under Agreement dated January 16, 1981, as amended and restated on January 26, 1984, June 28, 1990, December 10, 1997 and April 1, 2005. Pursuant to an agreement dated December 6, 2001, Mr. Foss has sole voting power and dispositive power over such shares but Ms. Foss and her Trusts have the right to receive any dividends on and any proceeds from the sale of such shares. Shares are owned by a limited liability company in which Mr. Foss has a 20% interest. Shares are owned of record by Jill Foss Watson, as Trustee of the Jill Foss Watson Trust Under Agreement dated March 28, 2007. Mr. Foss has sole voting power and dispositive power over such shares but Ms. Foss Watson and her Trust have the right to receive any dividends on and any proceeds from the sale of such shares. On May 20, 2010, the reporting person contributed 2,000,000 shares of Credit Acceptance common stock to a grantor retained annuity trust for the benefit of himself as annuitant and his minor child as remainderman. /s/ Donald A. Foss 2010-09-09 -----END PRIVACY-ENHANCED MESSAGE-----