-----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, G97tZqlMkPW5q5KrlKRLX3vEmElZKg0v/rgw2+/VVyhVVGjipg6IdQxANmai1evi 9ZSTruItw5T1tmyb6pWdyw== 0001209191-05-040981.txt : 20050805 0001209191-05-040981.hdr.sgml : 20050805 20050805132820 ACCESSION NUMBER: 0001209191-05-040981 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050803 FILED AS OF DATE: 20050805 DATE AS OF CHANGE: 20050805 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN PHYSICIANS CAPITAL INC CENTRAL INDEX KEY: 0001118148 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 383543910 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1301 NORTH HAGADORN ROAD CITY: EAST LANSING STATE: MI ZIP: 48823 BUSINESS PHONE: 5173511150 MAIL ADDRESS: STREET 1: 1301 NORTH HAGADORN ROAD CITY: EAST LANSING STATE: MI ZIP: 48823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLINTON R KEVIN CENTRAL INDEX KEY: 0001210368 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32057 FILM NUMBER: 051001921 BUSINESS ADDRESS: STREET 1: 1301 NORTH HAGADORN ROAD CITY: EAST LANSING STATE: MI ZIP: 48823 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-08-03 0 0001118148 AMERICAN PHYSICIANS CAPITAL INC ACAP 0001210368 CLINTON R KEVIN 1301 NORTH HAGADORN RD EAST LANSING MI 48823 1 1 0 0 President and CEO Stock Option (Right to Buy) 39.75 2005-08-03 4 A 0 40000 39.75 A 2015-08-03 Common Stock 40000 40000 D This option becomes exercisable as follows: 13,300 shares on 8/3/06; 13,300 shares on 8/3/07; and 13,400 shares on 8/3/08. This option becomes immediatly exercisable upon a change in control. /s/ R. Kevin Clinton 2005-08-05 -----END PRIVACY-ENHANCED MESSAGE-----