-----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, Gs2qHVaqwKBXcpvSQg6DmXJZhdNAXqm6sKaGdwqeIx3LqnwcONsWa1t4I3h3x9ZV XFyLoh0Ncu69S8tJGelHJg== 0000893220-97-000794.txt : 19970421 0000893220-97-000794.hdr.sgml : 19970421 ACCESSION NUMBER: 0000893220-97-000794 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970418 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PHILADELPHIA CONSOLIDATED HOLDING CORP CENTRAL INDEX KEY: 0000909109 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 232202671 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-43665 FILM NUMBER: 97583428 BUSINESS ADDRESS: STREET 1: ONE BALA PLAZA STREET 2: SUITE 100 CITY: WYNNEWOOD STATE: PA ZIP: 19096 BUSINESS PHONE: 6106428400 MAIL ADDRESS: STREET 1: ONE BALA PLAZA STREET 2: SUITE 100 CITY: BALA CYNWYD STATE: PA ZIP: 19004 FORMER COMPANY: FORMER CONFORMED NAME: MAGUIRE HOLDING CORP DATE OF NAME CHANGE: 19930714 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MAGUIRE JAMES J 1995 ANNUITY TRUST & MAGUIRE JAMES J JR TRUS CENTRAL INDEX KEY: 0001037867 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 237791686 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: ONE BALA PLZ CITY: BALA CYNWYD STATE: PA ZIP: 19004 BUSINESS PHONE: 6106177900 MAIL ADDRESS: STREET 1: ONE BALA PLZ STREET 2: STE 100 CITY: BALA CYNWYD STATE: PA ZIP: 19004 SC 13D/A 1 SCHEDULE 13D/A JAMES J. MAGUIRE ANNUITY TRUST 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D (Rule 13d-101) UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 2)(1) Philadelphia Consolidated Holding Corp. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, no par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 717528 10 3 - -------------------------------------------------------------------------------- (CUSIP Number) James J. Maguire, Jr., Trustee, The James J. Maguire Annuity Trust** - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) February 21, 1997 - -------------------------------------------------------------------------------- (Date of Event which Requires Filing of This Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box / /. Check the following box if a fee is being paid with the statement / /. (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) Note. Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. ** c/o Philadelphia Consolidated Holding Corp. Suite 100, One Bala Plaza Bala Cynwyd, PA 19004 (610) 617-7900 * 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 disclosures provided in a prior cover page. The information required on 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 SCHEDULE 13D CUSIP NO. 717528 10 3 PAGE 2 OF 5 PAGES - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS The James J. Maguire 1995 Annuity Trust and James J. Maguire, Jr., Trustee - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) / / - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION U.S. - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES 570,397 BENEFICIALLY ----------------------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH REPORTING 0 PERSON ----------------------------------------------------------------- WITH 9 SOLE DISPOSITIVE POWER 570,397 ----------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 0 - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 570,397 - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 9.4% - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* 00 - Trust, trustee - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 Page 3 of 5 Pages ITEM 1. SECURITY AND ISSUER. The Issuer's name is Philadelphia Consolidated Holding Corp. and its executive offices are located at Suite 100, One Bala Plaza, Bala Cynwyd, Pennsylvania 19004. This statement is filed with respect to shares of the Issuer's Common Stock, no par value (CUSIP Number 717528 10 3) ("Common Stock"). ITEM 2. IDENTITY AND BACKGROUND. This statement is being filed by James J. Maguire, Jr., a United States citizen, as trustee (the "Trustee") of the James J. Maguire 1995 Annuity Trust (the "Trust") and by the Trust. The address of the Trust and the Trustee is c/o Philadelphia Consolidated Holding Corp., Suite 100, One Bala Plaza, Bala Cynwyd, Pennsylvania 19004. The principal employment of the Trustee is Insurance Executive. ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. Not Applicable. ITEM 4. PURPOSE OF TRANSACTION. Not Applicable. 4 Page 4 of 5 Pages ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. The Trust beneficially owns 570,397 shares of Common Stock representing 9.4% of the Common Stock, as calculated in accordance with Rule 13d-3(d)(1). The Trustee, on behalf of the Trust, has sole power to vote or direct the vote and sole power to dispose or direct the disposition over all 570,397 shares of Common Stock. On February 21, 1997, 181,653 shares of the Common Stock were transferred by the Trust to James J. Maguire, the beneficiary of the Trust, as a distribution therefrom. ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS, WITH RESPECT TO SECURITIES OF THE ISSUER. Pursuant to the terms of the Trust, its settlor, James J. Maguire, Chairman of the Board and Chief Executive Officer of the Issuer, has the right to substitute assets of equivalent value for those of the Trust, which currently consist only of the 570,397 shares of Common Stock which are the subject of this statement. ITEM 7. EXHIBITS Not Applicable. 5 Page 5 of 5 Pages SIGNATURE After reasonable inquiry and to the best of our knowledge and belief, I certify that the information set forth in this statement is true, complete, and correct. The James J. Maguire 1995 Annuity Trust /s/ James J. Maguire, Jr. ------------------------------------------- Signature Dated: April 18, 1997 James J. Maguire, Jr. Individually and as Trustee -----END PRIVACY-ENHANCED MESSAGE-----