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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 144
SEC USE ONLY
NOTICE OF PROPOSED SALE OF SECURITIES ---------------------
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933 DOCUMENT SEQUENCE NO.
ATTENTION: Transmit for filing 3 copies of this form concurrently with either placing an ---------------------
order with a broker to execute sale or executing a sale directly with a market CUSIP NUMBER
maker.
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1(a) NAME OF ISSUER (Please type or print) (b) IRS IDENT. NO. (c) S.E.C. FILE NO. WORK LOCATION
Acceptance Insurance Companies Inc. 31-0742926 1-7461
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1(d) ADDRESS OF ISSUER STREET CITY STATE ZIP CODE (e) TELEPHONE NO.
AREA
222 South 15th Street, Suite 600 North, Omaha, NE 68102 CODE NUMBER
(402) 344-8800
2(a) NAME OF PERSON FOR WHOSE (b) SOCIAL (c) RELATIONSHIP (d) ADDRESS STREET CITY STATE ZIP CODE
ACCOUNT THE SECURITIES SECURITY TO ISSUER
ARE TO BE SOLD NO. OR IRS 4600 East Shea Blvd., Suite 100,
IDENT. NO. None Phoenix, AZ 85028
Robert S. Katz ###-##-####
INSTRUCTION: The person filing this notice should contact the issuer to obtain the IRS Identification Number
and the S.E.C. File Number.
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3(a) Title of the (b) Name and Address of Each Broker SEC USE ONLY (c) Number of Shares (d) Aggregate
Class of Through Whom the Securities are ------------- or Other Units Market
Securities to be Offered or Each Market Broker-Dealer to be Sold Value (See
to be Sold Maker who is Acquiring the File Number (See instr. 3(C)) instr. 3(d))
Securities
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Common Advest, Inc., Hartford, CT 25,000 421,875
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(e) Number of Shares (f) Approximate (g) Name of Each
or Other Units Date of Sale Securities
Outstanding (See instr. 3(f)) Exchange (See
(See instr. 3(e)) (MO. DAY YR.) instr. 3(g))
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15,143,000 Periodically after New York Stock
filing Form 144 Exchange
INSTRUCTIONS:
1.(a) Name of Issuer 3.(a) Title of the class of securities to be sold
(b) Issuer's I.R.S. Identification Number (b) Name and address of each broker through whom the
(c) Issuer's S.E.C. file number, if any Securities are intended to be sold
(d) Issuer's address, including zip code (c) Number of shares or other units to be sold (if
(e) Issuer's telephone number, including area code debt securities, give the aggregate face amount)
(d) Aggregate market value of the securities to be
2.(a) Name of person for whose account the securities sold as of a specified date within 10 days prior
are to be sold to the filing of this notice
(b) Such person's Social Security or I.R.S. (e) Number or shares or other units of the class
identification number outstanding, or if debt securities the face
(c) Such person's relationship to the issuer (e.g., amount thereof outstanding, as shown by the most
officer, director 10% stockholder, or member of recent report or statement published by the
immediate family of any of the foregoing) issuer
(d) Such person's address, including zip code (f) Approximate date on which the securities are to
be sold
(g) Name of each securities exchange, if any, on
which the securities are intended to be sold
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TABLE I -- SECURITIES TO BE SOLD
Furnish the following information with respect to the acquisition of the securities to be sold
and with respect to the payment of all or any part of the purchase price or other consideration therefor:
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Title of Date You Nature of Acquisition Transaction Name of Person from Whom Amount of Date of Nature
the Class Acquired Acquired (If gift, also Securities Payment of
give date donor acquired) Acquired Payment
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Common March Exchange from Statewide Insurance Acceptance Insurance 145,460 March Exchange
Stock 1994 Companies Inc. 1994
INSTRUCTION: If the securities were purchased and full payment therefor
was not made in cash at the time of purchase, explain in
the table or in a note thereto the nature of the consideration
given. If the consideration consisted of any note or other
obligation, or if payment was made in installments describe
the arrangement and state when the note or other obligation was
discharged in full or the last installment paid.
TABLE II -- SECURITIES SOLD DURING THE PAST 3 MONTHS
Furnish the following information as to all securiites of the issuer sold during the past 3 months by the person
for whose account the securities are to be sold.
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Name and Address of Seller Title of Securities Sold Date of Sale Amount of Securities Sold Gross Proceeds
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None
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REMARKS:
INSTRUCTIONS: ATTENTION:
See the definition of "person" in paragraph (a) of Rule The person for whose account the securities to which
144. Information is to be given not only as to the person this notice relates are to be sold hereby represents by
for whose account the securities are to be sold but also signing this notice that he does not know any material
as to all other persons included in that definition. In adverse information in regard to the current and
addition, information shall be given as to sales by all prospective operations of the Issuer of the securities
persons whose sales are required by paragraph(e) of Rule to be sold which has not been publicly disclosed.
144 to be aggregated with sales for the account of the
person filing this notice.
5/29/96 /s/ Robert S. Katz
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DATE OF NOTICE (SIGNATURE)
The notice shall be signed by the person for whose account the securities are to be sold. At least one copy of the
notice shall be manually signed. Any copies not manually signed shall bear typed or printed signatures.
ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations
(See 18 U.S.C. 1001).
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