-----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, Eo2q6t/GzLoFm8/nb5nP2kF0zzGTlqbW4GTR68jwh2vGqbMeTueffuHn9uNWMfET qjSGM2czesb7B9qz+xjrnQ== 0001006427-04-000001.txt : 20040422 0001006427-04-000001.hdr.sgml : 20040422 20040422104748 ACCESSION NUMBER: 0001006427-04-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040216 FILED AS OF DATE: 20040422 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN PHYSICIANS SERVICE GROUP INC CENTRAL INDEX KEY: 0000724024 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 751458323 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HWY STREET 2: C-300 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 5123280888 MAIL ADDRESS: STREET 1: 1301 CAPITAL OF TEXAS HIGHWAY CITY: AUTIN STATE: TX ZIP: 78746 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHIFRIN KENNETH S CENTRAL INDEX KEY: 0001006427 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31434 FILM NUMBER: 04747160 BUSINESS ADDRESS: STREET 1: 15801 CHATEAU CITY: AUSTIN STATE: TX ZIP: 78734 BUSINESS PHONE: 5123280888 MAIL ADDRESS: STREET 1: 15801 CHATEAU CITY: AUSTIN STATE: TX ZIP: 78734 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2004-02-16 0 0 0 0000724024 AMERICAN PHYSICIANS SERVICE GROUP INC AMPH 0001006427 SHIFRIN KENNETH S 15801 CHATEAU AUSTIN TX 78734 1 1 1 0 Chief Executive Officer Common Stock 2004-02-16 5 J 0 589 9.55 A 496141 D /s/ Kenneth S. Shifrin 2004-04-22 -----END PRIVACY-ENHANCED MESSAGE-----