-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, V+txSYafGqHe9OlPY+RGzYPV/SshE5lz5hChmZ+YxiIMLZIKNqouRKwquf4XLxdi k9v05vdVLCAYkPq4oXLL+g== 0000950137-00-000440.txt : 20000211 0000950137-00-000440.hdr.sgml : 20000211 ACCESSION NUMBER: 0000950137-00-000440 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000210 GROUP MEMBERS: SUSAN E. THOMS GROUP MEMBERS: THOMS WILLIAM V GROUP MEMBERS: WILLIAM V. THOMS SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: QUOTESMITH COM INC CENTRAL INDEX KEY: 0001079996 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 581521612 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-56673 FILM NUMBER: 531741 BUSINESS ADDRESS: STREET 1: 8205 SOUTH CASS AVE STREET 2: SUITE 102 CITY: DARIEN STATE: IL ZIP: 60561 BUSINESS PHONE: 6305150170 MAIL ADDRESS: STREET 1: 8205 SOUTH CASS AVENUE CITY: DARIEN STATE: IL ZIP: 60561 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: THOMS WILLIAM V CENTRAL INDEX KEY: 0001106042 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 8205 SOUTH CASS AVE STREET 2: STE 102 CITY: DARIEN STATE: IL ZIP: 60561 BUSINESS PHONE: 6305150170 MAIL ADDRESS: STREET 1: 8205 SOUTH CASS AVE STREET 2: STE 102 CITY: DARIEN STATE: IL ZIP: 60561 SC 13G 1 SCHEDULE 13G 1 SCHEDULE 13G (RULE 13d-102) Information to be Included in Statements Filed Pursuant to Rule 13d-1(b), (c) and (d) and Amendments Thereto Filed Pursuant to Rule 13d-2. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. ___________)* Quotesmith.com, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 749117 10 7 - -------------------------------------------------------------------------------- (CUSIP Number) February 8, 2000 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on 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 (however, see the Notes). 2 CUSIP NO. 749117107 13G PAGE 2 OF 5 PAGES - -------------------------------------------------------------------------------- 1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only) William V. Thoms Susan E. Thoms - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group (a) [ ] (See Instructions) (b) [ ] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization USA - -------------------------------------------------------------------------------- Number of 5 Sole Voting Power Shares 2,160,000 ----------------------------------------------------- Beneficially 6 Shared Voting Power Owned by ----------------------------------------------------- 7 Sole Dispositive Power Each 2,160,000 ----------------------------------------------------- Reporting 8 Shared Dispositive Power Person With - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 2,160,000 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 11.24% - -------------------------------------------------------------------------------- 12 Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- 3 ITEM 1. (a) Name of Issuer. Quotesmith.com, Inc. (b) Address of Issuer's Principal Executive Offices. 8205 South Cass Avenue, Suite 102 Darien, IL 60561 ITEM 2. (a) Name of Persons Filing. William V. Thoms Susan E. Thoms (b) Address of Principal Business Office or, if none, Residence. c/o Quotesmith.com, Inc. 8205 South Cass Avenue, Suite 102 Darien, IL 60561 (c) Citizenship. USA (d) Title of Class of Securities. Common Stock, $.01 par value (e) CUSIP Number. 749117 10 7 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b) OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under Section 15 of the Act, (b) [ ] Bank as defined in Section 3(a)(6) of the Act, (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act, (d) [ ] Investment Company registered under Section 8 of the Investment Company Act, (e) [ ] Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940, -3- 4 (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund (see Sec. 240.13d-1(b)(1) (ii)(F)), (g) [ ] Parent Holding Company, in accordance with Sec. 240.13d-1 (b)(ii)(G) (Note: See Item 7) (h) [ ] Group, in accordance with Sec. 240.13d-1(b)(1)(ii)(H) Not Applicable. ITEM 4. OWNERSHIP. (a) Amount Beneficially Owned. 2,160,000 Includes 2,160,000 shares owned by William V. Thoms and Susan E. Thoms, as tenants in common. (b) Percent of Class. 11.24% (c) Number of shares as to which such person has (i) sole power to vote or to direct the vote: 2,160,000 (ii) shared power to vote or direct the vote: (iii) sole power to dispose or to direct the disposition of: 2,160,000 (iv) shared power to dispose or to direct the disposition of: ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. Not applicable. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. The information set forth under Item 4(a) of this report is incorporated herein by reference. -4- 5 ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not applicable. ITEM 10. CERTIFICATION. Not applicable. SIGNATURE 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. Date: February 8, 2000 /s/ William V. Thoms ----------------------------------- William V. Thoms /s/ Susan E. Thoms ----------------------------------- Susan E. Thoms -5- -----END PRIVACY-ENHANCED MESSAGE-----