-----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, E21QRmS6XVNw+GWnUywldyUWW9qDPoooBBx9nGwEZOTF26ylcKb5jzippQbsc0wz BAviLm98y4pr5leBj66cSQ== 0000950123-09-048148.txt : 20091005 0000950123-09-048148.hdr.sgml : 20091005 20091005080032 ACCESSION NUMBER: 0000950123-09-048148 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20091005 DATE AS OF CHANGE: 20091005 GROUP MEMBERS: ALLAN V. APPLE 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 SEC ACT: 1934 Act SEC FILE NUMBER: 005-45225 FILM NUMBER: 091104113 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 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 1 k48372asc13g.htm FORM SC 13G sc13g
     
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. __________)*

Credit Acceptance Corporation
(Name of Issuer)
Common Stock
(Title of Class of Securities)
225310 10 1
(CUSIP Number)
September 3, 2009
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

     o Rule 13d-1(b)

     þ Rule 13d-1(c)

     o 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).

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 control number.

 
 


 

                     
CUSIP No.
 
225310 10 1 
  Page  
  of   

 

           
1   NAMES OF REPORTING PERSONS
The Donald A. Foss 2009 Annuity Trust
     
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   o
     
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   2,000,000
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   0
       
WITH: 8   SHARED DISPOSITIVE POWER
     
    2,000,000
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  2,000,000
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  6.5%*
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  00
**   The percentage is calculated based upon total outstanding shares of 30,869,905, as of July 31, 2009 as set forth in issuer’s Form 10-Q filed on August 5, 2009.

 


 

                     
CUSIP No.
 
225310 10 1 
  Page  
  of   

 

           
1   NAMES OF REPORTING PERSONS
Allan V. Apple
     
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   o
     
3   SEC USE ONLY
   
   
     
4   CITIZENSHIP OR PLACE OF ORGANIZATION
   
  United States
       
  5   SOLE VOTING POWER
     
NUMBER OF   7,840
       
SHARES 6   SHARED VOTING POWER
BENEFICIALLY    
OWNED BY   2,000,000
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   7,840
       
WITH: 8   SHARED DISPOSITIVE POWER
     
    2,000,000
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  2,007,840*
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  6.5%**
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  IN
*     Mr. Apple is the trustee of the Donald A. Foss 2009 Annuity Trust. Mr. Apple disclaims beneficial ownership of these shares except with respect to those shares over which he has sole voting power and sole dispositive power.
**   The percentage is calculated based upon total outstanding shares of 30,869,905, as of July 31, 2009 as set forth in issuer’s Form 10-Q filed on August 5, 2009.

 


 

ITEM 1. (a) NAME OF ISSUER.
Credit Acceptance Corporation
ITEM 2. (b) ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES.
25505 West Twelve Mile Road, Southfield, Michigan 48034-8339, Suite 4125
ITEM 2. (a) NAME OF PERSON FILING.
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, Suite 4125
ITEM 2. (c) CITIZENSHIP.
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.
                                             
                                        Shared
                        Shared   Sole power   power to
                Sole power   power to   to dispose or   dispose or to
    Amount       to vote or   vote or to   to direct the   direct the
Reporting   beneficially   Percent of   direct the   direct the   disposition   disposition
Person   owned:   class:   vote:   vote:   of:   of:
The Donald A. Foss 2009 Annuity Trust
    2,000,000     6.5%*     0       2,000,000       0       2,000,000  
Allan V. Apple
    2,007,840     6.5%*     7,840       2,000,000       7,840       2,000,000  
 
*   The percentage is calculated based upon total outstanding shares of 30,869,905 as of July 31, 2009, as set forth in issuer’s Form 10-Q filed on August 5, 2009.

 


 

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.
             
    October 2, 2009    
 
           
    THE DONALD A. FOSS
2009 ANNUITY TRUST
   
 
           
 
  By:   /s/ Allan V. Apple
 
   
 
  Name/ Title: Allan V. Apple, Trustee    
 
           
 
           
 
  By:   /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 constitute one and the same instrument.
     IN WITNESS WHEREOF, the undersigned hereby execute this Agreement as of the 2nd day of October, 2009.
         
  THE DONALD A. FOSS
2009 ANNUITY TRUST
 
 
  By:   /s/ Allan V. Apple    
  Name/ Title: Allan V. Apple, Trustee   
     
  By:   /s/ Allan V. Apple    
  Name:   Allan V. Apple   
       
 

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