-----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, SSF095SP6xPKZtc+f36knr1pw9lg6V30t6yLHwx9XrKeBNwgTgp9kXCMhSWPHfd7 MQuR+DgfN66SqS6x0A7Jaw== 0000904454-06-000178.txt : 20060208 0000904454-06-000178.hdr.sgml : 20060208 20060208172353 ACCESSION NUMBER: 0000904454-06-000178 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060209 FILED AS OF DATE: 20060208 DATE AS OF CHANGE: 20060208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WCAS HEALTHCARE PARTNERS L P CENTRAL INDEX KEY: 0000912951 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51767 FILM NUMBER: 06590008 BUSINESS ADDRESS: STREET 1: 320 PARK AVENUE STREET 2: SUITE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 MAIL ADDRESS: STREET 1: 320 PARK AVENUE STREET 2: SUITE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMCOMP INC /FL CENTRAL INDEX KEY: 0001009667 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650636842 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 701 U S HIGHWAY ONE STREET 2: SUITE 200 CITY: NORTH PALM BEACH STATE: FL ZIP: 33408 BUSINESS PHONE: 5618407171 MAIL ADDRESS: STREET 1: 701 US HIGHWAY ONE STREET 2: SUITE 200 CITY: NORTH PALM BEACH STATE: FL ZIP: 33408 3 1 edgar.xml PRIMARY DOCUMENT X0202 3 2006-02-09 0 0001009667 AMCOMP INC /FL AMCP 0000912951 WCAS HEALTHCARE PARTNERS L P C/O WELSH, CARSON, ANDERSON AND STOWE 320 PARK AVENUE, SUITE 2500 NEW YORK NY 10022 0 0 1 0 Common Stock 18119 D Series A Convertible Preferred Stock Common Stock 41914 D Reflects a 1 for 2.2904 reverse split of the Common Stock effected immediately prior to the effectiveness of the Issuer's initial public offering. The Series A Convertible Preferred Stock will automatically convert into Common Stock immediately prior to the closing of the Issuer's initial public offering, for no additional consideration. Jonathan M. Rather, Attorney-in-Fact 2006-02-08 -----END PRIVACY-ENHANCED MESSAGE-----