0001209191-12-008687.txt : 20120209 0001209191-12-008687.hdr.sgml : 20120209 20120209160930 ACCESSION NUMBER: 0001209191-12-008687 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111220 FILED AS OF DATE: 20120209 DATE AS OF CHANGE: 20120209 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: 12587273 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 X0304 4 2011-12-20 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 2011-12-22 5 G 0 E 24903 0.00 A 3705638 D Common Stock 2012-01-20 5 G 0 E 250654 0.00 A 3956292 D Common Stock 2011-12-20 5 G 0 E 100000 0.00 D 3190610 I By ex-wife's trust Common Stock 83166 I By limited liability company Common Stock 3657040 I By daughter's trusts On December 21, 2010, the reporting person contributed shares of Credit Acceptance common stock to a grantor retained annuity trust for the benefit of himself as annuitant and the nephew of his chicld as remainderman. On December 22, 2011, 24,903 shares of Credit Acceptance common stock were transferred from such trust to Mr. Foss in satisfaction of such trust's 2011 annuity obligation. On January 14, 2011 and February 18, 2011, the reporting person contributed shares of Credit Acceptance common stock to a grantor retained annuity trust for the benefit of himself as annuitant and his child as reminderman. On January 20, 2012, 250,654 shares of Credit Acceptance common stock were transferred from such trust to Mr. Foss in satisfaction of such trust's 2012 annuity obligation. 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 (which expires December 6, 2013), 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. Mr. Foss disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Shares are owned by a limited liability company in which Mr. Foss has a 20% interest. Mr. Foss disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Shares are owned of record by Jill Foss Watson, as Trustee of the Jill Foss Watson Trust Under Agreement dated March 28, 2007 and the Karol A. Foss Irrevocable Grandchildren's Trust dated December 22, 2008. Pursuant to an agreement dated December 6, 2001 (which expires on December 6, 2013), Mr. Foss has sole voting power and dispositive power over such shares but Ms. Foss Watson and her Trusts have the right to receive any dividends on and any proceeds from the sale of such shares. Mr. Foss disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. /s/ Donald A. Foss 2012-02-09