-----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, BPgu9Xbj60tzHwxfxZMGBrqCmmm53uXZVec9lKRk7LmdPUSB9OnE8APzu9AG5n1A S/f++aCQipTQhCIVznGJ0g== 0000950134-04-005890.txt : 20040426 0000950134-04-005890.hdr.sgml : 20040426 20040426162743 ACCESSION NUMBER: 0000950134-04-005890 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20040426 GROUP MEMBERS: MSD PORTFOLIO LP - INVESTMENTS GROUP MEMBERS: MSD SBI LP GROUP MEMBERS: MSD TORCHLIGHT LP SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: USI HOLDINGS CORP CENTRAL INDEX KEY: 0001102643 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 133771733 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-78458 FILM NUMBER: 04754468 BUSINESS ADDRESS: STREET 1: 555 PLEASANTVILLE ROAD CITY: BRIARCLIFF MANOR STATE: NY ZIP: 10510 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MSD CAPITAL L P CENTRAL INDEX KEY: 0001105497 IRS NUMBER: 742880190 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 780 THIRD AVENUE 43RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10017-2024 BUSINESS PHONE: 2123031650 MAIL ADDRESS: STREET 1: 780 THIRD AVENUE 43RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10017-2024 SC 13G 1 d14732sc13g.htm SCHEDULE 13G sc13g
 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934*

U.S.I. Holdings Corporation

(Name of Issuer)

Common Stock, par value $0.01 per share

(Title of Class of Securities)

90333H101

(CUSIP Number)

April 15, 2004
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o Rule 13d-1(b)
þ Rule 13d-1(c)
o 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).

Person Authorized to Receive Notices and Communications:

Janice V. Sharry, Esq.
Haynes and Boone, LLP
901 Main Street, Suite 3100
Dallas, Texas 75202
(214) 651-5562

 


 

     
CUSIP No. — 90333H101 SCHEDULE 13G Page 2 of 9 Pages

  1. Name of Reporting Person
I.R.S. Identification No. of above person (entities only).

MSD Capital, L.P., a Delaware limited partnership
74-2880190

  2. Check the Appropriate Box if a Member of a Group

     (a)   o

     (b)   x


  3. SEC Use Only


  4. Citizenship or Place of Organization
Delaware

  5.   Sole Voting Power
0
     
Number of   6.   Shared Voting Power
3,905,033
Shares      
Beneficially      
Owned by Each   7.   Sole Dispositive Power
0
Reporting      
Person    
With:   8.   Shared Dispositive Power
3,905,033
     

  9. Aggregate Amount Beneficially Owned by Each Reporting Person
3,905,033

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares
o
 

  11. Percent of Class Represented by Amount In Row (9)
8.4%

  12. Type of Reporting Person
PN










 

     
CUSIP No. — 90333H101 SCHEDULE 13G Page 3 of 9 Pages

  1. Name of Reporting Person
I.R.S. Identification No. of above person (entities only).

MSD Torchlight, L.P., a Delaware limited partnership
38-3655304

  2. Check the Appropriate Box if a Member of a Group

     (a)   o

     (b)   x


  3. SEC Use Only


  4. Citizenship or Place of Organization
Delaware

  5.   Sole Voting Power
0
     
Number of   6.   Shared Voting Power
1,296,663
Shares      
Beneficially      
Owned by Each   7.   Sole Dispositive Power
0
Reporting      
Person    
With:   8.   Shared Dispositive Power
1,296,663
     

  9. Aggregate Amount Beneficially Owned by Each Reporting Person
1,296,663

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares
o

  11. Percent of Class Represented by Amount In Row (9)
2.8%

  12. Type of Reporting Person
PN










 

     
CUSIP No. — 90333H101 SCHEDULE 13G Page 4 of 9 Pages

  1. Name of Reporting Person
I.R.S. Identification No. of above person (entities only).

MSD SBI, L.P., a Delaware limited partnership
61-1420251

  2. Check the Appropriate Box if a Member of a Group

     (a)   o

     (b)   x


  3. SEC Use Only


  4. Citizenship or Place of Organization
Delaware

  5.   Sole Voting Power
0
     
Number of   6.   Shared Voting Power
1,296,663
Shares      
Beneficially      
Owned by Each   7.   Sole Dispositive Power
0
Reporting      
Person    
With:   8.   Shared Dispositive Power
1,296,663
     

  9. Aggregate Amount Beneficially Owned by Each Reporting Person
1,296,663

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares
o 

  11. Percent of Class Represented by Amount In Row (9)
2.8%

  12. Type of Reporting Person
PN










 

     
CUSIP No. — 90333H101 SCHEDULE 13G Page 5 of 9 Pages

  1. Name of Reporting Person
I.R.S. Identification No. of above person (entities only).

MSD Portfolio L.P. - Investments, a Delaware limited partnership
13-4019104

  2. Check the Appropriate Box if a Member of a Group

     (a)   o

     (b)   x


  3. SEC Use Only


  4. Citizenship or Place of Organization
Delaware

  5.   Sole Voting Power
0
     
Number of   6.   Shared Voting Power
1,311,707
Shares      
Beneficially      
Owned by Each   7.   Sole Dispositive Power
0
Reporting      
Person    
With:   8.   Shared Dispositive Power
1,311,707
     

  9. Aggregate Amount Beneficially Owned by Each Reporting Person
1,311,707

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares
o

  11. Percent of Class Represented by Amount In Row (9)
2.8%

  12. Type of Reporting Person
PN










 

     
CUSIP No. — 90333H101
  Page 6 of 9 Pages
         
  Item 1(a)   Name of Issuer:
      U.S.I. Holdings Corporation
 
       
  Item 1(b)   Address of Issuer’s Principal Executive Offices:
      555 Pleasantville Road, Suite 160 South
      Briarcliff Manor, New York 10510
 
       
  Item 2(a)   Names of Persons Filing:
      MSD Capital, L.P.
      MSD Torchlight, L.P.
      MSD SBI, L.P.
      MSD Portfolio L.P. — Investments
 
       
  Item 2(b)   Addresses of Principal Business Offices:
      MSD Capital, L.P.
      645 Fifth Avenue, 21st Floor
      New York, New York 10022
 
       
      MSD Torchlight, L.P.
      645 Fifth Avenue, 21st Floor
      New York, New York 10022
 
       
      MSD SBI, L.P.
      645 Fifth Avenue, 21st Floor
      New York, New York 10022
 
       
      MSD Portfolio L.P. — Investments
      645 Fifth Avenue, 21st Floor
      New York, New York 10022
 
       
  Item 2(c)   Citizenship:
      MSD Capital, L.P. — Delaware
      MSD Torchlight, L.P. — Delaware
      MSD SBI, L.P. — Delaware
      MSD Portfolio L.P. — Investments — Delaware
 
       
  Item 2(d)   Title of Class of Securities:
      Common Stock, par value $0.01 per share
 
       
  Item 2(e)   CUSIP Number:
      90333H101

 


 

     
CUSIP No. — 90333H101
  Page 7 of 9 Pages
                
Item 3   Status of Persons Filing:
 
           
  (a)   [ ]   Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
  (b)   [ ]   Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
  (c)   [ ]   Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
  (d)   [ ]   Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);
  (e)   [ ]   An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
  (f)   [ ]   An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
  (g)   [ ]   A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);
  (h)   [ ]   A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
  (i)   [ ]   A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
  (j)   [ ]   Group, in accordance with §240.13d-1(b)(1)(ii)(J).
 
           
Item 4   Ownership:
 
           
    (a)   As of April 24, 2004, (i) MSD Torchlight, L.P., a Delaware limited partnership (“Torchlight”), was the record owner of 1,296,663 shares of common stock of U.S.I. Holdings Corporation (“USI”), (ii) MSD SBI, L.P., a Delaware limited partnership (“SBI”), was the record owner of 1,296,663 shares of common stock of USI, and (iii) MSD Portfolio L.P. — Investments, a Delaware limited partnership (“Portfolio”), was the record owner of 1,311,707 shares of common stock of USI. MSD Capital, L.P., a Delaware limited partnership (“MSD”), is the general partner of each of Torchlight, SBI and Portfolio, and therefore may be deemed to be the indirect beneficial owner of the shares of common stock of USI held of record by Torchlight, SBI and Portfolio. MSD Capital Management LLC is the general partner of MSD.
 
           
    (b)   Percent of Class:
        MSD Capital, L.P. — 8.4%
MSD Torchlight, L.P. — 2.8%
MSD SBI, L.P. — 2.8%
MSD Portfolio L.P. — Investments — 2.8%
 
           
    (c)   Number of shares as to which the person has:
 
           
        (i)   sole power to vote or to direct the vote: 0
 
           
        (ii)   shared power to vote or to direct the vote:
          MSD Capital, L.P. — 3,905,033
MSD Torchlight, L.P. — 1,296,663
MSD SBI, L.P. — 1,296,663
MSD Portfolio L.P. — Investments — 1,311,707

 


 

     
CUSIP No. — 90333H101
  Page 8 of 9 Pages
                
        (iii)   sole power to dispose or to direct the disposition of: 0
 
           
        (iv)   shared power to dispose or to direct the disposition of:
          MSD Capital, L.P. — 3,905,033
MSD Torchlight, L.P. — 1,296,663
MSD SBI, L.P. — 1,296,663
MSD Portfolio L.P. — Investments — 1,311,707
 
           
Item 5   Ownership of 5% or Less of a Class:
 
           
    Not applicable.
 
           
Item 6   Ownership of More than 5% on Behalf of Another Person:
 
           
    Not applicable.
 
           
Item 7   Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person:
 
           
    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:
 
           
    By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 


 

     
CUSIP No. — 90333H101
  Page 9 of 9 Pages

SIGNATURES

     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: April 26, 2004
         
  MSD CAPITAL, L.P.

By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 
         
  MSD TORCHLIGHT, L.P.

By: MSD Capital, L.P., its general partner
By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 
         
  MSD SBI, L.P.

By: MSD Capital, L.P., its general partner
By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 
         
  MSD PORTFOLIO L.P. — INVESTMENTS

By: MSD Capital, L.P., its general partner
By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 

 


 

EXHIBITS

     
Exhibit A
  Joint Filing Agreement, dated April 26, 2004, entered into by and among MSD Capital, L.P., MSD Torchlight, L.P., MSD SBI, L.P. and MSD Portfolio L.P. — Investments.

 

EX-99.A 2 d14732exv99wa.htm JOINT FILING AGREEMENT exv99wa
 

EXHIBIT A

JOINT FILING AGREEMENT

     In accordance with Rule 13d-1(k) promulgated under the Securities Exchange Act of 1934, as amended, the persons named below agree to the joint filing on behalf of each of them a Statement on Schedule 13G (including amendments thereto) with regard to the common stock of U.S.I. Holdings Corporation, a Delaware corporation, and further agree that this Joint Filing Agreement be included as an Exhibit to such joint filings. In evidence thereof, the undersigned, being duly authorized, hereby execute this Joint Filing Agreement as of April 26, 2004.
         
  MSD CAPITAL, L.P.


By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 
         
  MSD TORCHLIGHT, L.P.


By: MSD Capital, L.P., its general partner
By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 
         
  MSD SBI, L.P.


By: MSD Capital, L.P., its general partner
By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 
         
  MSD PORTFOLIO L.P. — INVESTMENTS


By: MSD Capital, L.P., its general partner
By: MSD Capital Management LLC, its general partner
 
 
  By:   /s/ Marc R. Lisker    
    Marc R. Lisker   
    General Counsel   
 

 

-----END PRIVACY-ENHANCED MESSAGE-----