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Hilliard Wallace J SC 13Gon1/31/97 re:American Medical Security Group Inc

As of: Friday, 1/31/97 Accession #: 892712-97-4 File #: 5-41965

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  As Of                Filer                Filing    ForOnAs Docs:Size              Issuer               Agent

 1/31/97  Hilliard Wallace J                SC 13G                 1:5K   American Medical Sec Group Inc    Godfrey & Kahn SC/FA

Statement of Beneficial Ownership Schedule 13G
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: SC 13G      Statement of Beneficial Ownership                      3    15K 


Document Table of Contents

Page(sequential)|(alphabetic)Top

11st Page - Filing Submission
"Item 1(a). NAME OF ISSUER United Wisconsin Services, Inc
"Item 2(a). NAME OF PERSON FILING Wallace J. Hilliard
"Item 2(c). Citizenship U.S.A
"Item 2(d). TITLE OR CLASS OF SECURITIES Common Stock, no par value
"Item 6. Ownership of More Than Five Percent on Behalf of Another Person. N/A
"Item 8. Identification and Classification of Members of the Group. N/A
"Item 9. Notice of Dissolution of Group. N/A
"Item 10. Certification N/A


United States Securities and Exchange Commission Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No. N/A) United Wisconsin Services, Inc. --------------------------------------- (Name of Issuer) Common Stock, no par value --------------------------------------- (Title of Class of Securities) 913236105 --------------------------------------- (CUSIP Number) * The remainder of this cover page shall be filled out for a reporting person's initial filing in this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act. Schedule 13G CUSIP No. 913236105 1. NAME OF REPORTING PERSON. Wallace J. Hilliard S.S. or IRS IDENTIFICATION NO. OF ABOVE PERSON. 342-20-5001 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP. (a) [ ] (b) [ ] 3. SEC USE ONLY. 4. CITIZENSHIP OR PLACE OF ORGANIZATION. USA NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5. SOLE VOTING POWER. 1,811,617 6. SHARED VOTING POWER. 0 7. SOLE DISPOSITIVE POWER. 1,811,617 8. SHARED DISPOSITIVE POWER. 119,860 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON. 1,931,477 10. CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES. 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9). 11.5% 12 TYPE OF REPORTING PERSON. IN Schedule 13G CUSIP No. 913236105 ITEM 1(a). NAME OF ISSUER United Wisconsin Services, Inc. ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES. 401 West Michigan Street Milwaukee, Wisconsin 53203-2896 ITEM 2(a). NAME OF PERSON FILING Wallace J. Hilliard ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE 3100 AMS Boulevard Green Bay, Wisconsin 54313 ITEM 2(c). CITIZENSHIP U.S.A ITEM 2(d). TITLE OR CLASS OF SECURITIES Common Stock, no par value ITEM 2(e). CUSIP NUMBER 913236105 ITEM 3. N/A ITEM 4. OWNERSHIP (a) Amount Beneficially Owned: 1,931,477 (b) Percent of Class: 11.5% (c) Number of Shares as to which such person has: (i) sole power to vote or direct the vote: 1,811,617 (ii) shared power to vote or direct the vote: 0 (iii) sole power to dispose or to direct the disposition of: 1,811,617 (iv) shared power to dispose or to direct the disposition of: 119,860 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. N/A ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. N/A ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. N/A ITEM 9. NOTICE OF DISSOLUTION OF GROUP. N/A ITEM 10. CERTIFICATION N/A After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true complete and correct. Dated this 22 day of January, 1997. /s/ Wallace J. Hilliard ------------------------ (Signature) Wallace J. Hilliard
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