-----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, Co+IgyOEi1q7ip9drYtle5D6bRaYLm3OIbNzmtGBiJ/MzVAnFwZRNSOvgCtOtCzg MZ4P95XHgv2zIn0wY+0f6A== 0001193125-04-066317.txt : 20040421 0001193125-04-066317.hdr.sgml : 20040421 20040421123754 ACCESSION NUMBER: 0001193125-04-066317 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040421 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMBASSADORS INTERNATIONAL INC CENTRAL INDEX KEY: 0000946842 STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700] IRS NUMBER: 911688605 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-44561 FILM NUMBER: 04744782 BUSINESS ADDRESS: STREET 1: 1071 CAMELBACK STREET 2: STREET CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949.759.5900 MAIL ADDRESS: STREET 1: 1071 CAMELBACK STREET 2: STREET CITY: NEWPORT BEACH STATE: CA ZIP: 92660 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: UEBERROTH JOHN A CENTRAL INDEX KEY: 0001007911 IRS NUMBER: 910827798 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1071 CAMELBACK ST CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 9497595900 MAIL ADDRESS: STREET 1: AMBASSADORS PERFORMANCE GROUP INC STREET 2: 1071 CAMELBACK ST CITY: NEWPORT BEACH STATE: CA ZIP: 92660 SC 13G/A 1 dsc13ga.htm SC 13G/A SC 13G/A

SCHEDULE 13G/A

 

Information to be Included in Statements Filed Pursuant to Rule 13d-1(b), (c) and (d)

and Amendments Thereto Filed Pursuant to Rule 13d-2.

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

 

 

 

Under the Securities Exchange Act of 1934

(Amendment No. 4)*

 

 

 

 

 

Ambassadors International, Inc.


(Name of Issuer)

 

 

Common Stock


(Title of Class of Securities)

 

 

023178-10-6


                                (CUSIP Number)                                

 

 

April 19, 2004


(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. 023178-10-6

 


  1.  

Name of Reporting Person

S.S. or I.R.S. Identification No. of above person

 

            John A. Ueberroth

   

  2.  

Check the Appropriate Box if a Member of a Group*

(a)  ¨

(b)  ¨

   

  3.  

SEC Use Only

 

   

  4.  

Citizenship or Place of Organization

 

            U.S.

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    Sole Voting Power

 

                809,270


  6.    Shared Voting Power

 

                0


  7.    Sole Dispositive Power

 

                809,270


  8.    Shared Dispositive Power

 

                0


  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

            809,270

   

10.  

Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares*

 

¨

   

11.  

Percent of Class Represented by Amount in Row (9)

 

            8.1%

   

12.  

Type of Reporting Person (See Instructions)

 

            IN

   

 


SCHEDULE 13G/A

 

Item 1.

 

(a)

   Name of Issuer:          
        

Ambassadors International, Inc.

         

Item 1.

 

(b)

   Address of Issuer’s Principal Executive Office:          
        

1071 Camelback Street, Newport Beach, CA 92660

         

Item 2.

 

(a)

   Name of Person Filing:          
        

John A. Ueberroth

         

Item 2.

 

(b)

   Address of Principal Business Office or, if none, Residence:          
        

1071 Camelback Street, Newport Beach, CA 92660

         

Item 2.

 

(c)

   Citizenship:          
        

U.S.

         

Item 2.

 

(d)

   Title of Class of Securities:          
        

Common Stock

         

Item 2.

 

(e)

   CUSIP Number:              
        

023178-10-6

         

Item 3.

  Statement filed pursuant to Rule 13d-1(b), or 13d-2(b):     
        

Not applicable

         

Item 4.

  Ownership.          
    (a)    Amount beneficially owned:     809,270          
    (b)    Percent of class:     8.1%          
    (c)    Number of shares as to which the person has:          
         (i)    Sole power to vote or to direct the vote:     809,270          
         (ii)    Shared power to vote or to direct the vote:    0          
         (iii)    Sole power to dispose or to direct the disposition of:     809,270          
         (iv)    Shared power to dispose or to direct the disposition of:     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.          
   

Not applicable

         

Item 9.

  Notice of Duration of Group.          
   

Not applicable

         

Item 10.

  Certification.               


By signing below I certify that, to the best of my knowledge and belief, the securities referred to above 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.

 

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.

 

April 19, 2004

(Date)
 
/s/    John A. Ueberroth

(Signature)
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