-----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, LE5b5slT1ihtUticTmavzhyJCbhCju4ANdhSX/0kDGHauY+SAeZAzKiRyzfTLlKQ eL8LPNFBxB2BQ55x01LXuw== 0001012870-99-002910.txt : 19990818 0001012870-99-002910.hdr.sgml : 19990818 ACCESSION NUMBER: 0001012870-99-002910 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990817 GROUP MEMBERS: ROGERS FAMILY TRUST DTD 1/21/81 AS AMENDED GROUP MEMBERS: ROY & RUTH ROGERS UNITRUST GROUP MEMBERS: ROY L. ROGERS GROUP MEMBERS: ROY L. ROGERS IRA ACCOUNT SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DELPHI INFORMATION SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0000814549 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 770021975 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-38591 FILM NUMBER: 99694756 BUSINESS ADDRESS: STREET 1: 3501 ALGONQUIN RD STREET 2: STE 500 CITY: ROLLING MEADOWS STATE: IL ZIP: 60008 BUSINESS PHONE: 7085063100 MAIL ADDRESS: STREET 1: 3501ALGOUQUIN ROAD CITY: ROLLING MEADOWS STATE: IL ZIP: 60008 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROGERS FAMILY TRUST DTD 1/21/81 AS AMENDED CENTRAL INDEX KEY: 0001092666 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: ROGERS INVESTMENT CORP STREET 2: 2700 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 MAIL ADDRESS: STREET 1: 27927 BRIONES WAY CITY: LOS ALTOS HILLS STATE: CA ZIP: 94022 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (Amendment No. __)* UNDER THE SECURITIES EXCHANGE ACT OF 1934 DELPHI INFORMATION SYSTEMS, INC. -------------------------------- (Name Of Issuer) Common Stock ------------------------------ (Title Of Class Of Securities) 247171101 ------------------------------ (CUSIP Number) May 7, 1999 ------------------------------- (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) [X] Rule 13d-1(c) [_] 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). CUSIP No. 247171101 Page 2 of 9 Pages - -------------------------------------------------------------------------------- (1) Names of Reporting Persons. SS or I.R.S. Identification Nos. of Above Persons Roy L. Rogers, Trustee, The Rogers Family Trust, dtd January 21, 1981, as amended - -------------------------------------------------------------------------------- (2) Check the appropriate box if a member of a group (a) (b) x - -------------------------------------------------------------------------------- (3) SEC Use Only - -------------------------------------------------------------------------------- (4) Citizenship or Place of Organization California - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 457,860 beneficially owned by each reporting (6) Shared Voting Power -0- person with (7) Sole Dispositive Power 457,860 (8) Shared Dispositive Power -0- (9) Aggregate Amount Beneficially Owned By Each Reporting Person 457,860 - -------------------------------------------------------------------------------- (10) Check If The Aggregate Amount In Row (11) Excludes Certain Shares* - -------------------------------------------------------------------------------- (11) Percent Of Class Represented By Amount In Row (11) 4.49 % - -------------------------------------------------------------------------------- (12) Type Of Reporting Person OO - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! CUSIP No. 247171101 Page 3 of 9 Pages - -------------------------------------------------------------------------------- (1) Names of Reporting Persons. SS or I.R.S. Identification Nos. of Above Persons Roy & Ruth Rogers Unitrust - -------------------------------------------------------------------------------- (2) Check The Appropriate Box If A Member Of A Group (a) (b) X - -------------------------------------------------------------------------------- (3) SEC Use Only - -------------------------------------------------------------------------------- (4) Citizenship or Place of Organization California - -------------------------------------------------------------------------------- Number Of Shares (5) Sole Voting Power 135,000 Beneficially Owned By Each Reporting (6) Shared Voting Power -0- Person With (7) Sole Dispositive Power 135,000 (8) Shared Dispositive Power -0- (9) Aggregate Amount Beneficially Owned By Each Reporting Person 135,000 - -------------------------------------------------------------------------------- (10) Check If The Aggregate Amount In Row (11) Excludes Certain Shares* - -------------------------------------------------------------------------------- (11) Percent Of Class Represented By Amount In Row (11) 1.32% - -------------------------------------------------------------------------------- (12) Type Of Reporting Person OO - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! CUSIP No. 247171101 Page 4 of 9 Pages - -------------------------------------------------------------------------------- (1) Names of Reporting Persons. SS or I.R.S. IDENTIFICATION Nos. of Above Persons Roy L. Rogers IRA Account - -------------------------------------------------------------------------------- (2) Check The Appropriate Box If A Member Of A Group (a) (b) X - -------------------------------------------------------------------------------- (3) SEC Use Only - -------------------------------------------------------------------------------- (4) Citizenship or Place of Organization California - -------------------------------------------------------------------------------- Number Of Shares (5) Sole Voting Power 20,000 Beneficially Owned By Each Reporting (6) Shared Voting Power -0- Person With (7) Sole Dispositive Power 20,000 (8) Shared Dispositive Power -0- (9) Aggregate Amount Beneficially Owned By Each Reporting Person 20,000 - -------------------------------------------------------------------------------- (10) Check If The Aggregate Amount In Row (11) Excludes Certain Shares* - -------------------------------------------------------------------------------- (11) Percent Of Class Represented By Amount In Row (11) 0.20% - -------------------------------------------------------------------------------- (12) Type Of Reporting Person PN - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! CUSIP No. 247171101 Page 5 of 9 Pages (1) Names of Reporting Persons. SS or I.R.S. Identification Nos. of Above Persons Roy L. Rogers - -------------------------------------------------------------------------------- (2) Check The Appropriate Box If A Member Of A Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- (3) SEC Use Only - -------------------------------------------------------------------------------- (4) Citizenship or Place of Organization US - -------------------------------------------------------------------------------- Number Of Shares (5) sole voting power 612,860 Beneficially Owned By Each Reporting (6) shared voting power -0- Person With (7) sole dispositive power 612,860 (8) shared dispositive power -0- (9) Aggregate Amount Beneficially Owned By Each Reporting Person 612,860 - -------------------------------------------------------------------------------- (10) Check If The Aggregate Amount In Row (11) Excludes Certain Shares* - -------------------------------------------------------------------------------- (11) Percent Of Class Represented By Amount In Row (11) 6.01% - -------------------------------------------------------------------------------- (12) Type Of Reporting Person IN - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Page 6 of 9 pages Item 1. (a) Name of Issuer: Delphi Information Systems, Inc. ("Issuer") (b) Address of Issuer's Principal Executive Offices: 3501 Algonquin Road, Suite 500 Rolling Meadows, Illinois 00008 Item 2. (a) Name of Person Filing: The Rogers Family Trust dtd January 21, 1981, as amended ("RFT") Roy & Ruth Rogers Unitrust ("R&RRU") Roy L. Rogers IRA Account ("RLRIRA") Roy L. Rogers ("RLR") (b) Address of Principal Business Office: 2700 Sand Hill Road Menlo Park, CA 94025 (c) Citizenship/Place of Organization: Entities: RFT - California R&RRU - California RLRIRA - California Individuals: RLR - United States (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 247171101 Item 3. Not applicable. Item 4 Ownership.
RFT R&RRU RLRIRA RLR - ---------------------------------------------------------------------- (a) Beneficial Ownership 457,860 135,000 20,000 612,860 - ---------------------------------------------------------------------- (b) Percentage of Class 4.49% 1.32% .20% 6.01% - ---------------------------------------------------------------------- (c) Sole Voting Power 457,860 135,000 20,000 612,860 - ---------------------------------------------------------------------- Shared Voting Power -0- -0- -0- -0- - ---------------------------------------------------------------------- Sole Dispositive Power 457,860 135,000 20,000 612,860 - ---------------------------------------------------------------------- Shared Dispositive Power -0- -0- -0- -0- - ----------------------------------------------------------------------
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 Not applicable. 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 No reporting person is a member of a group as defined in Section 240.13d- 1(b)(1)(ii)(H) of the Act. Item 9. Notice of Dissolution of Group Not applicable. Item 10. Certification Not applicable. EXHIBITS A: Joint Filing Statement 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. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and 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. Date: August 5, 1999 THE ROGERS FAMILY TRUST RUTH & ROY ROGERS UNITRUST DTD JANUARY 21, 1981, AS AMENDED By: /s/ Roy L. Rogers By: /s/ Roy L. Rogers ----------------- ----------------- Trustee Trustee ROY L. ROGERS IRA ACCOUNT By: /s/ Roy L. Rogers ----------------- /s/ Roy L. Rogers ----------------- Roy L. Rogers EXHIBIT A AGREEMENT OF JOINT FILING We, the undersigned, hereby express our agreement that the attached Schedule 13G is filed on behalf of us. Date: August 5, 1999 THE ROGERS FAMILY TRUST RUTH & ROY ROGERS UNITRUST DTD JANUARY 21, 1981, AS AMENDED By: /s/ Roy L. Rogers By: /s/ Roy L. Rogers ----------------- ----------------- Trustee Trustee ROY L. ROGERS IRA ACCOUNT By: /s/ Roy L. Rogers ----------------- Roy L. Rogers /s/ Roy L. Rogers ----------------- Roy L. Rogers
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