-----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, Qr1aQ4bRY/9l4Mh5iYwzKpyrDzXodgglWOA4fO7DUpctYFqrTreKlv14mUYV4ti3 j190GgGvNLJo4yS9rmw3nA== 0001006427-04-000003.txt : 20040616 0001006427-04-000003.hdr.sgml : 20040616 20040616164724 ACCESSION NUMBER: 0001006427-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040614 FILED AS OF DATE: 20040616 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31434 FILM NUMBER: 04866697 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-06-14 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 2004-06-14 4 M 0 35000 4.125 A 531141 D Common Stock 2004-06-14 4 S 0 14000 10.29 D 517141 D Common Stock Option 4.125 2004-06-14 4 M 0 35000 4.125 A 2002-08-12 2004-08-12 Common Stock 35000 175000 D /s/ Kenneth S. Shifrin 2004-06-16 -----END PRIVACY-ENHANCED MESSAGE-----