STUMBAUGH LAWRENCE 4
4 · ASSURANCEAMERICA CORP · Filed Nov 18, 2003
Insider Transaction Report
Form 4
ASSURANCEAMERICA CORPASAM.OB
STUMBAUGH LAWRENCE
DirectorPresident and CEO10% Owner
Transactions
- Conversion
Series A Converting Preferred Stock
2003-07-02−2,886,434→ 0 total(indirect: By LLC)→ Common Stock (2,886,434 underlying) - Conversion
Common Stock
2003-07-02+2,886,434→ 5,309,347 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.