-----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, Vu93fPHOrErK75E5MWC1UXNlrrqlOj5SE7q5FCq4GVqfs7I29mRycefkQn5fE7LQ O2Wy8A6w7MxD6WPbtUWV7A== 0001129787-03-000151.txt : 20031114 0001129787-03-000151.hdr.sgml : 20031114 20031114171556 ACCESSION NUMBER: 0001129787-03-000151 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031112 FILED AS OF DATE: 20031114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOURELL TODD F CENTRAL INDEX KEY: 0001269126 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19594 FILM NUMBER: 031005928 MAIL ADDRESS: STREET 1: ONE INTERNATIONAL PLACE STREET 2: STE 2401 CITY: BOSTON STATE: MA ZIP: 02110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSURANCE AUTO AUCTIONS INC /CA CENTRAL INDEX KEY: 0000880026 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MOTOR VEHICLES & MOTOR VEHICLE PARTS & SUPPLIES [5010] IRS NUMBER: 953790111 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 850 E ALGONQUIN RD STREET 2: STE 100 CITY: SCHAUMGURG STATE: IL ZIP: 60173 BUSINESS PHONE: 8478393939 MAIL ADDRESS: STREET 1: 850 E ALGONQUIN RD STREET 2: STE 100 CITY: SCHAUMGURG STATE: IL ZIP: 60173 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-11-12 0 0000880026 INSURANCE AUTO AUCTIONS INC /CA IAAI 0001269126 BOURELL TODD F ONE INTERNATIONAL PLACE STE 2401 BOSTON MA 02110 1 0 1 0 Director Stock Option (right to buy) 14.11 2003-11-12 4 A 0 10000 0 A 2003-12-31 2013-11-12 Common Stock 10000 10000 D Options granted under 2003 Stock Incentive Plan. The options to buy shares of Insurance Auto Auctions, Inc. will become exercisable in 25% increments on 12/31/03, 3/31/04, 6/30/04 and 9/31/04. Column 8 is not a required reportable field. Under an agreement with ValueAct Capital Partners, L.P., Todd F. Bourell is deemed to hold the options for the benefit of ValueAct Capital Partners, L.P., ValueAct Capital Partners II, L.P. and ValueAct Capital International, Ltd. and indirectly for VA Partners, LLC as general partner of ValueAct Capital Partners, L.P. and ValueAct Capital Partners II, L.P. as the investment adviser of ValueAct Capital International, Ltd. Todd F. Bourell is a director of Insurance Auto Auctions, Inc and Member of VA Partners, LLC. Jeffrey W. Ubben, Peter H. Kamin and George F. Hamel are Managing Members of VA Partners, LLC, the General Partner of ValueAct Capital Partners, L.P. and ValueAct Capital Partners II, L.P. and investment adviser of ValueAct Capital International, Ltd. The reporting persons disclaim beneficial ownership of the reported options except to the extent of their pecuniary interest therein. Joint Filer Information Name: ValueAct Capital Partners, L.P. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. (IAAI) Date of Event Requiring Statement: November 12, 2003 Name: ValueAct Capital Partners II, L.P. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. (IAAI) Date of Event Requiring Statement: November 12, 2003 Name: ValueAct Capital International, Ltd. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. (IAAI) Date of Event Requiring Statement: November 12, 2003 Name: VA Partners, L.L.C. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. (IAAI) Date of Event Requiring Statement: November 12, 2003 Name: George F. Hamel, Jr. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. (IAAI) Date of Event Requiring Statement: November 12, 2003 Name: Jeffrey W. Ubben Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: Todd F. Bourell Issuer and Ticker Symbol: Insurance Auto Auctions, Inc. (IAAI) Date of Event Requiring Statement: November 12, 2003 By: /s/ Todd F. Bourell 2003-11-14 VALUEACT CAPITAL PARTNERS, L.P., BY VA PARTNERS, L.L.C., ITS GENERAL PARTNER By: /s/ George F. Hamel, Jr. Managing Member 2003-11-14 VALUEACT CAPITAL PARTNERS II, L.P., BY VA PARTNERS, L.L.C., ITS GENERAL PARTNER By: /s/ George F. Hamel, Jr. Managing Member 2003-11-14 VALUEACT CAPITAL INTERNATIONAL, LTD., BY VA PARTNERS, L.L.C., ITS INVESTMENT MANAGER By: /s/ George F. Hamel, Jr. Managing Member 2003-11-14 VA PARTNERS, L.L.C. By: /s/ George F. Hamel, Jr. Managing Member 2003-11-14 By: /s/ Jeffrey W. Ubben 2003-11-14 By: /s/ George F. Hamel, Jr. 2003-11-14 By: /s/ Peter H. Kamin 2003-11-14 -----END PRIVACY-ENHANCED MESSAGE-----