SERCAP HOLDINGS LLC 4
4 · ASSURANCEAMERICA CORP · Filed Nov 18, 2003
Insider Transaction Report
Form 4
ASSURANCEAMERICA CORPASAM.OB
SERCAP HOLDINGS LLC
10% Owner
Transactions
- Conversion
Common Stock
2003-07-02+23,045,383→ 42,390,000 total - Conversion
Series A Converting Preferred Stock
2003-07-02−23,045,383→ 0 total→ Common Stock (23,045,383 underlying)
Footnotes (5)
- [F1]Acquired upon the conversion of 23,045,383 shares of Series A Converting Preferred Stock of AssuranceAmerica Corporation, a Georgia corporation, on the effective date of an amendment to the issuer's Articles of Incorporation to increase the number of authorized shares of the issuer's common stock.
- [F2]Series A Converting Preferred Stock issued by AssuranceAmerica Corporation, a Georgia corporation, which is exchangeable for shares of the issuer’s common stock.
- [F3]Each share of Series A Converting Preferred Stock is convertible into one share of the issuer’s common stock.
- [F4]The Series A Converting Preferred Stock automatically converts into shares of the issuer’s common stock on the effective date of an amendment to the issuer’s Articles of Incorporation to increase the number of authorized shares of the issuer’s common stock.
- [F5]Not Applicable.