13D Filing: Jill Foss Watson and Credit Acceptance Corp (NASDAQ:CACC)

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Page 6 of 14 – SEC Filing

CUSIP No. 225310 10 1

SCHEDULE 13D Page 6 of 13 Pages
1

NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION
NO. OF ABOVE PERSON

Karol A. Foss Irrevocable Grandchildren’s
Trust

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF
A GROUP  (SEE INSTRUCTIONS)

(a) ¨

(b) ¨

3

SEC USE ONLY

4

SOURCE OF FUNDS (SEE INSTRUCTIONS)

OO

5

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS
IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)

¨
6

CITIZENSHIP OR PLACE OF ORGANIZATION

Florida

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON WITH:

7

SOLE VOTING POWER

853,424

8

SHARED VOTING POWER
0

9

SOLE DISPOSITIVE POWER
853,424

10

SHARED DISPOSITIVE POWER

0

11

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

853,424

12

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW
(11) EXCLUDES

CERTAIN SHARES  (SEE INSTRUCTIONS)

o

13

PERCENT OF CLASS REPRESENTED BY AMOUNT IN
ROW (11)

4.3%*

14

TYPE OF REPORTING PERSON  (SEE
INSTRUCTIONS)

OO

* The percentage is calculated based upon total outstanding
shares of 19,877,856 as of February 3, 2017, as reported in the Issuer’s Form 10-K for the year ended December 31, 2016.

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