FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/09/2006 |
3. Issuer Name and Ticker or Trading Symbol
ATC HEALTHCARE INC /DE/ [ AHN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 1,714,935 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrant (right to buy) | (1) | 09/14/2010 | Class A Common Stock | 426,351 | $0.6 | D | |
Warrant (right to buy) | (1) | 06/09/2011 | Class A Common Stock | 741,000 | $0.6 | D | |
6% Convertible Series C Preferred Stock | (2) | 06/09/2009 | Class A Common Stock | 2,223,000(3) | $0.45 | D |
Explanation of Responses: |
1. Currently exercisable |
2. Currently convertible |
3. The 6% Convertible Series C Preferred Stock provides for payment of dividends in shares so that the number of shares of Class A Common Stock underlying this derivative security may increase without any further action of the Reporting Person. |
Remarks: |
This Form is filed jointly by Roaring Fork Capital SBIC, L.P. ("RFLP") and its general partner, Roaring Fork Capital Management, LLC (RFLLC"). RFLP is the owner of the securities. RFLLC and its managers disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interests. |
/s/ Eugene C. McColley Eugene C. McColley, Manager on behalf of Roaring Fork Capital Management, LLC and Roaring Fork Capital Management, LLC as General Partner of Roaring Fork Capital SBIC, L.P. | 06/15/2006 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |