-----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, SuPNIoB9bn0aK2OBxw/PrSRnkzxHrPdTXtLU9ID3oEPNW/PmDRcRiRbSudx6S0dk OHo1uCSmmB4jQ3d+djCODg== 0000950146-98-000279.txt : 19980226 0000950146-98-000279.hdr.sgml : 19980226 ACCESSION NUMBER: 0000950146-98-000279 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980225 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NYMAGIC INC CENTRAL INDEX KEY: 0000847431 STANDARD INDUSTRIAL CLASSIFICATION: SURETY INSURANCE [6351] IRS NUMBER: 133534162 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-43571 FILM NUMBER: 98549413 BUSINESS ADDRESS: STREET 1: 330 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2125510600 MAIL ADDRESS: STREET 1: 330 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10017 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLACKMAN MARK W CENTRAL INDEX KEY: 0001056662 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O NY MAGIC INC STREET 2: 330 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2125510600 MAIL ADDRESS: STREET 1: C/O NY MAGIC INC STREET 2: 330 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES & EXCHANGE COMMISSION Washington D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 13 and Restatement)* NYMAGIC, INC. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $1.00 Par Value - -------------------------------------------------------------------------------- (Title of Class of Securities) 629484106 -------------- (CUSIP Number) *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). - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON John N. Blackman, Jr. ####-##-#### - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION New York State - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 1,918,174 shares BENEFICIALLY -------------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH 2,010,996 shares REPORTING -------------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 1,918,174 shares -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 2,010,996 shares - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,010,996 shares - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 20.82% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 2 - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Mark W. Blackman ####-##-#### - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION New York State - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 1,907,798 shares BENEFICIALLY -------------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH 1,962,674 shares REPORTING -------------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 1,907,798 shares -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 1,962,674 shares - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,962,674 shares - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 20.32% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 3 This Amendment No. 13 is the first electronic amendment to the paper format Schedule 13G previously filed by the Reporting Persons (the "Schedule 13G"). Accordingly, this statement restates the entire text of the Schedule 13G. Item 1(a). Name of Issuer: NYMAGIC, INC. Item 1(b). Address of Issuer's Principal Executive Offices: 330 Madison Avenue New York, NY 10017 Item 2(a). Names of Persons Filing: John N. Blackman, Jr. Mark W. Blackman (Louise B. Tollefson is no longer a filing person.) Item 2(b). Address of Principal Business Office: 330 Madison Avenue New York, NY 10017 Item 2(c). Citizenship: New York State Item 2(d). Title of Class Securities: Common Stock, $1.00 par value Item 2(e). CUSIP Number: 629484106 Item 3. Not applicable. Item 4. Ownership (a) Amount beneficially owned: John N. Blackman, Jr. owns of record 1,918,174 shares of Common Stock, and, as trustees of Trusts for the benefit of minors, all of which own of record 92,822 shares of Common Stock, may be deemed to have the power to vote 2,010,996 shares of Common Stock; Mark W. Blackman, owns of record 1,907,798 shares of Common Stock, and as guardian of minors, together owning of record 54,876 4 shares of Common Stock, may be deemed to have the power to vote 1,962,674 shares of Common Stock. (b) Percent of Class: John N. Blackman, Jr.: 20.82%; Mark W. Blackman: 20.32%; The foregoing percentages are based on the 9,660,306 shares of Common Stock reported by the Company to be outstanding as of December 31, 1997. (c) Number of shares as to which such person has: (i) sole power to vote or direct the vote: John N. Blackman, Jr.: 1,918,174; Mark W. Blackman: 1,907,798; (ii) shared power to vote or to direct the vote: John N. Blackman, Jr., as trustee of trusts for minors, all of which own of record 92,822 shares of Common Stock, may be deemed to have or share the power to vote an aggregate of 2,010,996 shares of Common Stock; Mark W. Blackman, as guardian of minors, together owning of record 54,876 shares of Common Stock, may be deemed to have or share the power to vote an aggregate of 1,962,674 shares of Common Stock. (iii) sole power to dispose or to direct the disposition of: John N. Blackman, Jr.: 1,918,174 shares; Mark W. Blackman: 1,907,798 shares; (iv) shared power to dispose or to direct the disposition of: John N. Blackman, Jr., as trustee of trusts for minors, all of which own of record 92,822 shares of Common Stock, may 5 be deemed to have or share the power to dispose or direct the disposition of an aggregate of 2,010,996 shares of Common Stock; Mark W. Blackman, as guardian of minors, together owning of record 54,876 shares of Common Stock, may be deemed to have or share the power to dispose or direct the disposition of an aggregate of 1,962,674 shares of Common Stock. Item 5. Ownership of Five Percent or Less of a Class: On December 31, 1997, Louise B. Tollefson transferred her interests in the Common Stock to the Louise B. Tollefson Florida Intangible Tax Trust (the "Trust"), following which her ownership was reduced to less than five percent. The Trust has separately filed a Report on Schedule 13D. Item 6. Ownership of More than Five Percent on Behalf of Another Person: None. 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. SIGNATURES After reasonable inquiry and to the best of their knowledge and belief, the undersigned certify that the information set forth in the statement is true, complete and correct. February 24, 1998 By /s/ Mark W. Blackman -------------------------- Mark W. Blackman February 24, 1998 By /s/ John N. Blackman, Jr. -------------------------- John N. Blackman, Jr. 6 -----END PRIVACY-ENHANCED MESSAGE-----