-----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, PqbSEUWcMeMdY4sSHLTEmC16aED8IZuHBrj5yJx5kmBtjyoWpFhyYrVXsb3GtSe0 mrbft3xmSOra8ug/NEs8tw== 0000885550-11-000011.txt : 20110113 0000885550-11-000011.hdr.sgml : 20110113 20110113162127 ACCESSION NUMBER: 0000885550-11-000011 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110113 DATE AS OF CHANGE: 20110113 GROUP MEMBERS: ALLAN V. APPLE THE DONALD A. FOSS 2010 ANNUITY TRUST SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-45225 FILM NUMBER: 11527781 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Donald A. Foss 2009 Annuity Trust CENTRAL INDEX KEY: 0001473482 IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 25505 WEST TWELVE MILE ROAD STREET 2: SUITE 3000 CITY: SOUTHFIELD STATE: MI ZIP: 48034-8339 BUSINESS PHONE: (248) 353-2700, 4405 MAIL ADDRESS: STREET 1: 25505 WEST TWELVE MILE ROAD STREET 2: SUITE 3000 CITY: SOUTHFIELD STATE: MI ZIP: 48034-8339 SC 13G/A 1 applesc13g_123110.htm SCHEDULE 13G AMENDMENT 3 applesc13g_123110.htm

 
UNITED STATES
 
 
SECURITIES AND EXCHANGE COMMISSION
 
Washington, D.C. 20549
 
SCHEDULE 13G
 
 
Under the Securities Exchange Act of 1934
 
 
(Amendment No. 3)*
 
Credit Acceptance Corporation
(Name of Issuer)

Common Stock
(Title of Class of Securities)

225310 10 1
(CUSIP Number)

December 31, 2010
(Date of Event Which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
 
     [  ] Rule 13d-1(b)
 
 
     [X] Rule 13d-1(c)
 
 
     [  ] Rule 13d-1(d)
 
 
* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
 
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 

 
 

 

                     
CUSIP No.
 
225310 10 1 
               
           
1.
 
NAMES OF REPORTING PERSONS.
I.R.S. Identification Nos. of above persons (entities only).
The Donald A. Foss 2010 Annuity Trust #2.
     
     
2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
(a)   [  ]
 
(b)   [  ]
     
3.
 
SEC USE ONLY
   
   
     
4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
   
 
Michigan
       
 
5.
 
SOLE VOTING POWER
     
NUMBER OF
 
0
       
SHARES
6.
 
SHARED VOTING POWER
BENEFICIALLY
   
OWNED BY
 
100,000
       
EACH
7.
 
SOLE DISPOSITIVE POWER
REPORTING
   
PERSON
 
0
       
WITH
8.
 
SHARED DISPOSITIVE POWER
     
   
100,000
     
9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
 
100,000
     
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
 
[  ]
     
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
 
0.4%*
     
12.
 
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
 
OO

* The percentage is calculated based upon total outstanding shares of 27,141,367 as of October 22, 2010 as set forth in Issuer’s Form 10-Q filed on November 1, 2010.

 
 

 


 
                     
CUSIP No.
 
225310 10 1 
               
           
1.
 
NAMES OF REPORTING PERSONS.
I.R.S. Identification Nos. of above persons (entities only).
The Donald A. Foss 2010 Annuity Trust.
     
     
2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
(a)   [  ]
 
(b)   [  ]
     
3.
 
SEC USE ONLY
   
   
     
4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
   
 
Michigan
       
 
5.
 
SOLE VOTING POWER
     
NUMBER OF
 
0
       
SHARES
6.
 
SHARED VOTING POWER
BENEFICIALLY
   
OWNED BY
 
1,621,574
       
EACH
7.
 
SOLE DISPOSITIVE POWER
REPORTING
   
PERSON
 
0
       
WITH
8.
 
SHARED DISPOSITIVE POWER
     
   
1,621,574
     
9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
 
1,621,574
     
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
 
[  ]
     
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
 
6.0%*
     
12.
 
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
 
OO

* The percentage is calculated based upon total outstanding shares of 27,141,367 as of October 22, 2010 as set forth in Issuer’s Form 10-Q filed on November 1, 2010.

 
 

 

                     
CUSIP No.
 
225310 10 1 
               
           
1.
 
NAMES OF REPORTING PERSONS.
I.R.S. Identification Nos. of above persons (entities only).
The Donald A. Foss 2009 Annuity Trust.
     
     
2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
(a)   [ ]
 
(b)   [ ]
     
3.
 
SEC USE ONLY
   
   
     
4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
   
 
Michigan
       
 
5.
 
SOLE VOTING POWER
     
NUMBER OF
 
0
       
SHARES
6.
 
SHARED VOTING POWER
BENEFICIALLY
   
OWNED BY
 
1,499,839
       
EACH
7.
 
SOLE DISPOSITIVE POWER
REPORTING
   
PERSON
 
0
       
WITH
8.
 
SHARED DISPOSITIVE POWER
     
   
1,499,839
     
9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
 
1,499,839
     
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
 
[ ]
     
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
 
5.5%*
     
12.
 
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
 
OO

* The percentage is calculated based upon total outstanding shares of 27,141,367 as of October 22, 2010 as set forth in Issuer’s Form 10-Q filed on November 1, 2010.

 
 

 


                     
CUSIP No.
 
225310 10 1 
               
           
1.
 
NAMES OF REPORTING PERSONS.
I.R.S. Identification Nos. of above persons (entities only).
Allan V. Apple
     
     
2.
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
 
(a)   [ ]
 
(b)   [ ]
     
3.
 
SEC USE ONLY
   
   
     
4.
 
CITIZENSHIP OR PLACE OF ORGANIZATION
   
 
United States
       
 
5.
 
SOLE VOTING POWER
     
NUMBER OF
 
0
       
SHARES
6.
 
SHARED VOTING POWER
BENEFICIALLY
   
OWNED BY
 
3,221,413
       
EACH
7.
 
SOLE DISPOSITIVE POWER
REPORTING
   
PERSON
 
0
       
WITH
8.
 
SHARED DISPOSITIVE POWER
     
   
3,221,413
     
9.
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
 
3,221,413**
     
10.
 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
 
[ ]
     
11.
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
 
11.9%*
     
12.
 
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
 
IN

* The percentage is calculated based upon total outstanding shares of 27,141,367 as of October 22, 2010 as set forth in Issuer’s Form 10-Q filed on November 1, 2010.

** Mr. Apple is the trustee of the Donald A. Foss 2010 Annuity Trust #2, the Donald A. Foss 2010 Annuity Trust and the Donald A. Foss 2009 Annuity Trust. Mr. Apple disclaims beneficial ownership of these shares owned by such trusts.

 
 

 

ITEM 1. (a) NAME OF ISSUER.
Credit Acceptance Corporation

ITEM 1. (b) ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES.
25505 West Twelve Mile Road, Southfield, Michigan 48034-8339

ITEM 2. (a) NAME OF PERSON FILING.
The Donald A. Foss 2010 Annuity Trust #2
The Donald A. Foss 2010 Annuity Trust
The Donald A. Foss 2009 Annuity Trust
Allan V. Apple
(each, a “Reporting Person” and collectively, the “Reporting Persons”). See Exhibit A.

ITEM 2. (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE.
25505 West Twelve Mile Road, Southfield, Michigan 48034-8339

ITEM 2. (c) CITIZENSHIP.
The Donald A. Foss 2010 Annuity Trust #2: Michigan
The Donald A. Foss 2010 Annuity Trust: Michigan
The Donald A. Foss 2009 Annuity Trust: Michigan
Allan V. Apple: United States

ITEM 2. (d) TITLE OF CLASS OF SECURITIES. Common Stock

ITEM 2. (e) CUSIP NUMBER. 225310 10 1

ITEM 3. Not applicable

ITEM 4. OWNERSHIP.

Reporting Person
 
Amount beneficially owned:
 
Percent of class:
 
Sole power to vote or direct the vote:
 
Shared power to vote or to direct the vote:
 
Sole power to dispose or to direct the disposition of:
 
Shared power to dispose or to direct the disposition of:
The Donald A. Foss 2010 Annuity Trust #2
 
100,000
 
0.4%
*
 
0
 
100,000
 
0
 
100,000
The Donald A. Foss 2010 Annuity Trust
 
1,621,574
 
6.0%
*
 
0
 
1,621,574
 
0
 
1,621,574
The Donald A. Foss 2009 Annuity Trust
 
1,499,839
 
5.5%
*
 
0
 
1,499,839
 
0
 
1,499,839
Allan V. Apple
 
3,221,413
 
11.9%
*
 
0
 
3,221,413
 
0
 
3,221,413

*  
The percentage is calculated based upon total outstanding shares of 27,141,367 as of October 22, 2010 as set forth in Issuer’s Form 10-Q filed on November 1, 2010.

ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
Not applicable

ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
Not applicable

ITEM 7.IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR CONTROL PERSON.
Not applicable

 
 

 

ITEM 8.IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
Not applicable

ITEM 9.NOTICE OF DISSOLUTION OF GROUP.
Not applicable

ITEM 10.CERTIFICATION.
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

SIGNATURE
     After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
         
  January 13, 2011   
 
 
THE DONALD A. FOSS 2010 ANNUITY TRUST #2
 
 
 
By:   /s/ Allan V. Apple                            
 
 
       Name/ Title: Allan V. Apple, Trustee 
 
     
 
THE DONALD A. FOSS 2010 ANNUITY TRUST
 
 
 
By:  
/s/ Allan V. Apple
 
   
Name/ Title: Allan V. Apple, Trustee 
 
       
 
THE DONALD A. FOSS 2009 ANNUITY TRUST
 
 
 
By:  
/s/ Allan V. Apple
 
   
Name/ Title: Allan V. Apple, Trustee 
 
       

         
 
/s/ Allan V. Apple
 
 
Name:  
Allan V. Apple 
 
     

 
 

 


 
 
EXHIBIT A
 
 
Joint Filing Agreement
 

     In accordance with Rule 13d-1(k) promulgated under the Securities Exchange Act of 1934, as amended, the undersigned hereby agree to the joint filing with all other Reporting Persons (as such term is defined in the Schedule 13G referred to below) on behalf of each of them a statement on Schedule 13G (including amendments thereto, if any) with respect to the shares of common stock of Credit Acceptance Corporation, a Michigan corporation, and that this Agreement may be included as an Exhibit to such joint filing. Each of the undersigned agrees to be responsible for the timely filing of the Schedule 13G, and for the completeness and accuracy of the information concerning itself contained therein. This Agreement may be executed in any number of counterparts, all of which taken together shall co nstitute one and the same instrument.

     IN WITNESS WHEREOF, the undersigned hereby execute this Agreement as of the 13th day of January, 2011.
         
 
THE DONALD A. FOSS 2010 ANNUITY TRUST #2
 
 
 
By:      /s/ Allan V. Apple                         
 
 
       Name/ Title: Allan V. Apple, Trustee 
 
     
 
THE DONALD A. FOSS 2010 ANNUITY TRUST
 
 
 
By:  
/s/ Allan V. Apple
 
   
Name/ Title: Allan V. Apple, Trustee 
 
       
 
THE DONALD A. FOSS 2009 ANNUITY TRUST
 
 
 
By:  
/s/ Allan V. Apple
 
   
Name/ Title: Allan V. Apple, Trustee 
 
       

         
 
/s/ Allan V. Apple
 
 
Name:  
Allan V. Apple 
 
     
 
 


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