Hilliard Wallace J – ‘SC 13G’ on 1/31/97 re: American Medical Security Group Inc

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

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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

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