FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ACCEPTANCE INSURANCE COMPANIES INC [ AICI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/29/2003 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common stock, par value $.40 | 12/29/2003 | S | 700,000 | D | $0.01 | 1,903,500 | I | (1) | ||
Common stock, par value $.40 | 12/29/2003 | P | 700,000 | A | $0.01 | 1,903,500 | I | (1) | ||
Common stock, par value $.40 | 12/29/2003 | S | 700,000 | D | $0.01 | 1,903,500 | I | (1) | ||
Common stock, par value $.40 | 12/29/2003 | P | 700,000 | A | $0.01 | 1,903,500 | I | (1) | ||
Common stock, par value $.40 | 12/29/2003 | S | 500,000 | D | $0.01 | 1,903,500 | I | (1) | ||
Common stock, par value $.40 | 12/29/2003 | P | 500,000 | A | $0.01 | 1,903,500 | I | (1) | ||
Common stock, par value $.40 | 12/30/2003 | S | 3,500 | D | $0.021 | 1,900,000 | I | (1) | ||
AICI Capital Trust 9% 9/30/27 Series Preferred | 99,000 | I | (1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
Remarks: |
(1) This filing constitutes a joint filing by Bedford Oak Advisors, LLC ("Advisors") and Harvey P. Eisen, the managing member of Advisors,with respect to the securities reported herein.Prior to December 29, 2003,the securities reported herein were owned directly by Bedford Oak Partners,L.P.(the "Partnership"), an investment fund managed by Advisors.On December 29,2003,the Partnership transferred an aggregate of 1,900, 000 shares of Common Stock of the Company in the varying amounts indicated in Column 4 to three other investment funds managed by Advisors (the "Other Funds").On the following day, the Partnership sold its remaining 3,500 shares of Common Stock of the Company to a third party in the open market.Pursuant to Exchange Act Rule 16a-1(a)(2),Mr.Eisen may be deemed to have a pecuniary interest in a portion of the securities reported in Column 5 in his capacity as the managing member of Bedford Oak Management,LLC,the general partner of the Partnership and two of the three Other Funds.Mr.Eisen disclaims any beneficial interest in such securities in excess of such pecuniary interest. Advisors,which acts as the investment manager of the Partnership and each of the Other Funds,has the power to vote and dispose of the securities reported herein but has no pecuniary interest in such shares. |
/s/ Harvey P. Eisen, individually and on behalf of Advisors | 12/31/2003 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |