-----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, RzFQVNGSFp1TlDhUJkoPV8EIoUEiv0quveae4AQA8/8tu/v/XKDvrNPIJElGuBf0 RZz9NIsz2616nrK7wFFTtg== 0000888859-97-000003.txt : 19970221 0000888859-97-000003.hdr.sgml : 19970221 ACCESSION NUMBER: 0000888859-97-000003 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970211 SROS: NONE GROUP MEMBERS: COLLAT, INC GROUP MEMBERS: COLLATERAL INVESTMENT CORP GROUP MEMBERS: COLLATERAL MORTGAGE, LTD. GROUP MEMBERS: WILLIAM T. RATLIFF, III GROUP MEMBERS: WILLIAM T. RATLIFF, JR. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TRIAD GUARANTY INC CENTRAL INDEX KEY: 0000911631 STANDARD INDUSTRIAL CLASSIFICATION: SURETY INSURANCE [6351] IRS NUMBER: 561838519 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-44601 FILM NUMBER: 97523601 BUSINESS ADDRESS: STREET 1: 101 SOUTH STRATFORD RD STREET 2: STE 500 CITY: WINSTON SALEM STATE: NC ZIP: 27104 BUSINESS PHONE: 2029514459 MAIL ADDRESS: STREET 1: 517 DEERING ST CITY: BIRMINGHAM STATE: AL ZIP: 35210 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: COLLATERAL INVESTMENT CORP CENTRAL INDEX KEY: 0000888859 STANDARD INDUSTRIAL CLASSIFICATION: ASSET-BACKED SECURITIES [6189] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1812 UNIVERSITY BOULEVARD CITY: TUSCALOOSA STATE: AL ZIP: 35401 BUSINESS PHONE: 205-345-7410 MAIL ADDRESS: STREET 1: 1812 UNIVERSITY BLVD CITY: TUSCALOOSA STATE: AL ZIP: 35401 SC 13G 1 SCHEDULE 13G - 2-4-1997 - TRIAD GUARANTY INC. SCHEDULE 13G Amendment No. 1 Triad Guaranty Inc. Common Stock Cusip # 895925105 Filing Fee: No Cusip # 895825 10 5 Item 1: Reporting Person - Collateral Investment Corp. Item 4: Delaware Item 5: -0- Item 6: 1,338,750 Item 7: -0- Item 8: 1,338,750 Item 9: 1,338,750 Item 11: 20.2% Item 12: CO Cusip # 895925 10 5 Item 1: Collateral Mortgage, Ltd. Item 4: Alabama Item 5: -0- Item 6: 1,286,250 Item 7: -0- Item 8: 1,286,250 Item 9: 1,286,250 Item 11: 19.4% Item 12: PN Cusip #895925 10 5 Item 1: Collat, Inc. Item 4: Alabama Item 5: -0- Item 6: 1,286,250 Item 7: -0- Item 8: 1,286,250 Item 9: 1,286,250 Item 11: 19.4% Item 12: CO Cusip #895925 10 5 Item 1: William T. Ratliff, Jr. Item 4: United States Item 5: 27,450 Item 6: 2,625,000 Item 7: 27,450 Item 8: 2,652,450 Item 9: 2,652,450 Item 11: 39.9% Item 12: IN Cusip #895925 10 5 Item 1: William T. Ratliff, III Item 4: United States Item 5: 52,647 Item 6: 2,628,600 Item 7: 52,647 Item 8: 2,628,600 Item 9: 2,687,622 Item 11: 40.4% Item 12: IN SCHEDULE 13G - TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(b) or 13d-2(b) Item 1(a). Name of Issuer: Triad Guaranty Inc. Item 1(b) Name of Issuer's Principal Executive Offices: 101 South Stratford Road, Suite 500 Winston-Salem, NC 27104 Item 2(a) Name of Person Filing" This Schedule 13G is filed on behalf of Collateral Investment Corp., a Delaware corporation ("CIC"), Collateral Mortgage, Ltd., an Alabama limited partnership ("CML"), Collat, Inc., an Alabama corporation ("Collat"), William T. Ratliff, Jr. ("Ratliff, Jr.") and William T. Ratliff, III ("Ratliff, III") (CIC, CML, Collat, Ratliff, Jr. and Ratliff, III are collectively referred to hereinafter as the "Filing Persons"). CIC and CML are each direct beneficial owners of more than 5% of the common stock of Triad Guaranty Inc. CIC --- Ratliff, Jr. is a vice president and director of CIC and beneficially owns 55.3% of the outstanding voting capital stock of CIC. Ratliff, III is president and a director of CIC and beneficially owns 1.4% of the outstanding voting capital stock of CIC. CML --- Ratliff, Jr. beneficially owns 29.4% of the outstanding limited partnership interests in CML. Ratliff, III beneficially owns 6.6% of the outstanding limited partnership interests in CML. Collat ------ Collat is the general partner of CML. Ratliff, Jr. is a vice president and a director of Collat and beneficially owns 15.2% of the outstanding voting capital stock of Collat. Ratliff, III is president and a director of Collat and beneficially owns 35.0% of the outstanding voting capital stock of Collat. Item 2(b) Address or Principal Business Office or, if None, Residence: CIC has its principal business office at 1812 University Boulevard, Tuscaloosa, AL 35401. CML, Collat, Inc., William T. Ratliff, Jr. and William T. Ratliff, III have their principal business office at 1900 Crestwood Boulevard, Birmingham, Alabama 35210. Item 2(c) Citizenship: Not applicable Item 2(d) Title of Class of Securities: Common Stock, $.01 par value Item 2(e) CUSIP Number: 895925 10 5 Item 3. If this statement is filed pursuant to Rule13d-1(b) or 13d-2(b), check whether the person filing is a: Not Applicable Item 4. Ownership (a) Amount Beneficially Owned:* William T. Ratliff, Jr. ------------------------ The aggregate amount beneficially owned by William T. Ratliff, Jr. includes 1,338,750 shares held of record by CIC and 1,286,250 shares held of record by CML. William T. Ratliff, III ----------------------- The aggregate amount beneficially owned by William T. Ratliff, III includes 1,338,750 shares held of record by CIC, 1,286,250 shares held of record by CML, 750 shares held of record by his wife, 2,850 shares held of record by his minor children, and 41,316 shares which he could acquire through the exercise of stock options. (b) Percent of Class:* (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote:* (ii) shared power to vote or to direct the vote:* (iii) sole power to dispose or to direct the disposition of:* (iv) shared power to dispose or to direct the disposition of:* * Item 5-11 relating to each Filing Person included in this Schedule 13G are incorporated herein by reference and show, respectively, the beneficial ownership of each Filing Person. 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. The Filing Persons have entered into a Joint Reporting Agreement dated January 16, 1997, which is attached hereto as Exhibit A, pursuant to which they have agreed to file one joint statement on behalf of all of them with respect to the subject matter of this Schedule 13G. Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification Not Applicable 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. Dated: February 11, 1997 COLLATERAL INVESTMENT CORP. By: /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III President COLLATERAL MORTGAGE, LTD. By: /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III President Collat, Inc. Corporate General Partner COLLAT, INC. By: /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III President /s/ William T. Ratliff, Jr. --------------------------- William T. Ratliff, Jr. /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III EXHIBIT A JOINT REPORTING AGREEMENT In consideration of the mutual covenants herein contained, each of the parties hereto represents to and agrees with each other as follows: 1. Such party is eligible to file a statement or statements on Schedule 13G pertaining to the Common Stock, $.01 par value per share, of Triad Guaranty Inc., a Delaware corporation, to which this agreement is an exhibit, for the filing of the information contained therein. 2. Such party is responsible for the timely filing of such statement and any amendments thereto and for the completeness and accuracy of the information concerning such party contained therein; provided that no such party is responsible for the completeness or accuracy of the information concerning any other party making the filing, unless such party knows or has reason to believe that such information is inaccurate. 3. Such party agrees that such statement is filed by and on behalf of each such party and that any amendment or amendments thereto will be filed on behalf of each such party. This agreement may be executed in one or more counterparts, each of which shall be deemed to be an original instrument, but all of such counterparts together shall constitute but one agreement. Dated: January 16, 1997 COLLATERAL INVESTMENT CORP. By: /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III COLLATERAL MORTGAGE, LTD. By: /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III President COLLAT, INC. By: /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III President /s/ William T. Ratliff, Jr. --------------------------- William T. Ratliff, Jr. /s/ William T. Ratliff, III --------------------------- William T. Ratliff, III -----END PRIVACY-ENHANCED MESSAGE-----