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4//SEC Filing

STUMBAUGH LAWRENCE 4

Accession 0001005477-03-004470

CIK 0000008497other

Filed

Nov 17, 7:00 PM ET

Accepted

Nov 18, 4:37 PM ET

Size

7.9 KB

Accession

0001005477-03-004470

Insider Transaction Report

Form 4
Period: 2003-07-02
STUMBAUGH LAWRENCE
DirectorPresident and CEO10% Owner
Transactions
  • Conversion

    Series A Converting Preferred Stock

    2003-07-022,886,4340 total(indirect: By LLC)
    Common Stock (2,886,434 underlying)
  • Conversion

    Common Stock

    2003-07-02+2,886,4345,309,347 total(indirect: By LLC)
Footnotes (5)
  • [F1]Acquired upon the conversion of 2,886,434 shares of the Series A Coverting 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.

Issuer

ASSURANCEAMERICA CORP

CIK 0000008497

Entity typeother

Related Parties

1
  • filerCIK 0001226942

Filing Metadata

Form type
4
Filed
Nov 17, 7:00 PM ET
Accepted
Nov 18, 4:37 PM ET
Size
7.9 KB