-----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, CBygoYluG9cZ12iWyTa3L0KCFV7iw4t6vREcQNtCsujdbB+gDKCQT5gl3IKJGf0H T/hYK8xXcNZRH8GF/T8pPA== 0000719241-98-000010.txt : 19980513 0000719241-98-000010.hdr.sgml : 19980513 ACCESSION NUMBER: 0000719241-98-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980331 FILED AS OF DATE: 19980512 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GENERAL ACCEPTANCE CORP /IN/ CENTRAL INDEX KEY: 0000937965 STANDARD INDUSTRIAL CLASSIFICATION: PERSONAL CREDIT INSTITUTIONS [6141] IRS NUMBER: 351739977 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 033-89520 FILM NUMBER: 98616001 BUSINESS ADDRESS: STREET 1: 1025 ACUFF ROAD CITY: BLOOMINGTON STATE: IN ZIP: 47404 BUSINESS PHONE: 8128763555 MAIL ADDRESS: STREET 1: 1025 ACUFF ROAD STREET 2: SUITE N CITY: BLOOMINGTON STATE: IN ZIP: 47404 COMPANY DATA: COMPANY CONFORMED NAME: CONSECO INC CENTRAL INDEX KEY: 0000719241 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] OWNER IRS NUMBER: 351468632 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 3175736100 MAIL ADDRESS: STREET 1: 11825 N PENNSYLVANIA ST CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: SECURITY NATIONAL OF INDIANA CORP DATE OF NAME CHANGE: 19840207 4 1 FORM 4 - MARCH 1998 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Conseco, Inc. 11825 North Pennsylvania Street Carmel, IN 46032 USA 2. Issuer Name and Ticker or Trading Symbol General Acceptance Corporation GACC 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year March 1998 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| None | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Warrant to Purchase C|$.25 |3/12/|A | |500,000 |A |Immed|4/11/|Common Stock|500,000|(1) | |D | | ommon Stock | |98 | | | | |iate |00 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Right to Purchase 12%|$.25 |3/12/|A | |$3,250,000 |A |(2) |4/11/|Common Stock|13,000,|$3,250,| |I |Wholly-owned| Subordinated Converti| |98 | | | | | |00 | |000 |000 | | | subsidiary | ble Debenture | | | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| 12% Subordinated Conv|$3.00 |3/12/|D | |$10,000,000|D |Immed|4/11/|Common Stock|3,333,3|(3) | |I |Wholly-owned| ertible Debenture | |98 | | | | |iate |00 | |33 | | | | subsidiary | - -----------------------------------------------------------------------------------------------------------------------------------| 12% Subordinated Conv|$.25 |3/12/|A | |$10,000,000|A |Immed|4/11/|Common Stock|40,000,|(3) |53,000,000 |I |Wholly-owned| ertible Debenture | |98 | | | | |iate |00 | |000 | | | | subsidiary | - -----------------------------------------------------------------------------------------------------------------------------------| Agreement to Purchase|$.25 |3/12/|A | |16,000,000 |A |(4) | |Common Stock|16,000,| | |I | | Common Stock | |98 | | | | | | | |000 | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Agreement to Purchase|$.30 |3/12/|A | |3,814,000 |A |(4) | |Common Stock|3,814,0| |19,814,000 |I |Wholly-owned| Common Stock | |98 | | | | | | | |00 | | | | subsidiary | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) Issued in partial consideration of a guarantee provided to a third party on behalf of the issuer. (2) On March 12, 1998, a wholly-owned subsidiary of the reporting person entered into an agreement to purchase the securities with a closing to occur within 60 days. (3) On March 12, 1998, the conversion price was adjusted pursuant to the terms of the debenture. (4) Agreements to purchase common stock were entered into on 3/12/98 with a closing to occur within 60 days. SIGNATURE OF REPORTING PERSON By: John J. Sabl, Executive Vice President DATE May 11, 1998 -----END PRIVACY-ENHANCED MESSAGE-----