-----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, ULe91NUCFhWhrZaIGNOThrM5VSmBHR4kWksyjIxYUIfQ18++alaVGYdXnRZ7IcEs nPb0+KVqh+V/RPrABtzc8A== 0001006427-09-000001.txt : 20090522 0001006427-09-000001.hdr.sgml : 20090522 20090522103836 ACCESSION NUMBER: 0001006427-09-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090518 FILED AS OF DATE: 20090522 DATE AS OF CHANGE: 20090522 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: 09847346 MAIL ADDRESS: STREET 1: 15801 CHATEAU CITY: AUSTIN STATE: TX ZIP: 78734 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN PHYSICIANS SERVICE GROUP INC CENTRAL INDEX KEY: 0000724024 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] 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: AUSTIN STATE: TX ZIP: 78746 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-05-18 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 2009-05-18 4 F 0 3842 21.19 A 302842 D Common Stock 2009-05-18 4 P 0 0 18.66 A 70579 I By 401(k) Plan Common Stock 2009-05-18 4 P 0 0 0 A 3300 I By IRA Common Stock 2009-05-18 4 P 0 0 0 A 2400 I By IRA for spouse Common Stock 2009-05-18 4 P 0 0 0 A 1200 I For child Common Stock Option 10.12 2009-05-18 4 F 0 10000 10.12 D 2004-12-17 2009-12-17 Common Stock 10000 35000 D /s/ Kenneth S. Shifrin 2009-05-22 -----END PRIVACY-ENHANCED MESSAGE-----