-----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, MNaPsO0y0Vy4WdZEjncc07Jpq1rutlKrwuTdcF+cMNJ9PfwWfWA34ZT4t8yW9hH3 d5rbot9P5qzRwtyijBDNdw== 0001247728-04-000009.txt : 20040928 0001247728-04-000009.hdr.sgml : 20040928 20040928163454 ACCESSION NUMBER: 0001247728-04-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040927 FILED AS OF DATE: 20040928 DATE AS OF CHANGE: 20040928 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHELDIN ERWIN CENTRAL INDEX KEY: 0001247728 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03978 FILM NUMBER: 041050271 BUSINESS ADDRESS: STREET 1: 23251 MULHOLLAND DR CITY: WOODLAND HILLS STATE: CA ZIP: 91364-2732 BUSINESS PHONE: 8185919800 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNICO AMERICAN CORP CENTRAL INDEX KEY: 0000100716 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 952583928 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 23251 MULHOLLAND DR CITY: WOODLAND HILLS STATE: CA ZIP: 91364 BUSINESS PHONE: 8185919800 MAIL ADDRESS: STREET 1: 23251 MULHOLLAND DRIVE CITY: WOODLAND HILLS STATE: CA ZIP: 91364 FORMER COMPANY: FORMER CONFORMED NAME: UNIVERSAL COVERAGE CORP DATE OF NAME CHANGE: 19730823 4 1 erwin_ex.xml FORM 4 X0202 4 2004-09-27 0 0000100716 UNICO AMERICAN CORP UNAM 0001247728 CHELDIN ERWIN 23251 MULHOLLAND DR WOODLAND HILLS CA 91364-2732 1 1 1 0 President Common Stock 2004-09-27 4 P 0 300 6.37 A 2338650 D Common Stock 2004-09-28 4 P 0 300 6.28 A 2338950 D /s/ Erwin Cheldin 2004-09-28 -----END PRIVACY-ENHANCED MESSAGE-----