-----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, BfOKTJSmi63TCp2rDhyvxCzR19z59p6vDbk3oogWaWyEfu9p8HIpSGuw+odh4mvQ eVxsexuoNxGyj02CqflThA== 0000909518-05-000278.txt : 20050426 0000909518-05-000278.hdr.sgml : 20050426 20050426153826 ACCESSION NUMBER: 0000909518-05-000278 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050422 FILED AS OF DATE: 20050426 DATE AS OF CHANGE: 20050426 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TENGASCO INC CENTRAL INDEX KEY: 0001001614 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 870267438 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 603 MAIN AVE STREET 2: SUITE 500 CITY: KNOXVILLE STATE: TN ZIP: 37902 BUSINESS PHONE: 4235231124 MAIL ADDRESS: STREET 1: 630 MAIN AVENUE STREET 2: SUITE 500 CITY: KNOXVILLE STATE: TN ZIP: 37902 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOFFLER NEIL H CENTRAL INDEX KEY: 0001218620 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772971 MAIL ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 420 LEXINGTON AVE STE.2601 CITY: NEW YORK STATE: NY ZIP: 10170 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COLLERY PETER M CENTRAL INDEX KEY: 0001061883 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772972 BUSINESS ADDRESS: BUSINESS PHONE: 2128889100 MAIL ADDRESS: STREET 1: 10 EAST 50TH ST STREET 2: 21ST FL CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC BVI PARTNERS CENTRAL INDEX KEY: 0001218022 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772974 MAIL ADDRESS: STREET 1: 747 THIRD AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC Fundamental BVI, Inc. CENTRAL INDEX KEY: 0001322320 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772975 BUSINESS ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-888-9100 MAIL ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC FUNDAMENTAL LLC CENTRAL INDEX KEY: 0001122345 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772977 BUSINESS ADDRESS: STREET 1: 747 THIRD AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2128889100 MAIL ADDRESS: STREET 1: 747 THIRD AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC Fundamental Value Fund, L.P. CENTRAL INDEX KEY: 0001322318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772978 BUSINESS ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-888-9100 MAIL ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC Fundamental Value BVI, Ltd. CENTRAL INDEX KEY: 0001322379 STATE OF INCORPORATION: D8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772976 BUSINESS ADDRESS: STREET 1: C/O CITCO FUND SERVICES (CAYMAN ISLANDS) STREET 2: CORPORATE CENTER, WEST BAY ROAD CITY: GRAND CAYMAN STATE: E9 ZIP: N-A BUSINESS PHONE: 345-949-3977 MAIL ADDRESS: STREET 1: C/O CITCO FUND SERVICES (CAYMAN ISLANDS) STREET 2: CORPORATE CENTER, WEST BAY ROAD CITY: GRAND CAYMAN STATE: E9 ZIP: N-A REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PMC-BVI, Inc. CENTRAL INDEX KEY: 0001322317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772973 BUSINESS ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-888-9100 MAIL ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bird John T CENTRAL INDEX KEY: 0001322351 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 05772979 BUSINESS ADDRESS: BUSINESS PHONE: 212-888-9100 MAIL ADDRESS: STREET 1: C/O SC FUNDAMENTAL LLC STREET 2: 747 THIRD AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 4 1 scfundamental_form4ex.xml X0202 4 2005-04-22 0 0001001614 TENGASCO INC TGC 0001322318 SC Fundamental Value Fund, L.P. 747 THIRD AVENUE 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001122345 SC FUNDAMENTAL LLC 747 THIRD AVENUE 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001322379 SC Fundamental Value BVI, Ltd. C/O CITCO FUND SERVICES (CAYMAN ISLANDS) CORPORATE CENTER, WEST BAY ROAD GRAND CAYMAN E9 N-A CAYMAN ISLANDS 0 0 0 1 Member of 13G Group (1) 0001322320 SC Fundamental BVI, Inc. 747 THIRD AVENUE 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001218022 SC BVI PARTNERS 747 THIRD AVENUE 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001322317 PMC-BVI, Inc. 747 THIRD AVENUE 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001061883 COLLERY PETER M C/O SC FUNDAMENTAL LLC 747 THIRD AVENUE, 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001218620 KOFFLER NEIL H C/O SC FUNDAMENTAL LLC 747 THIRD AVENUE, 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) 0001322351 Bird John T C/O SC FUNDAMENTAL LLC 747 THIRD AVENUE, 27TH FLOOR NEW YORK NY 10017 0 0 0 1 Member of 13G Group (1) Common Stock 2005-04-22 4 P 0 46260 0.24 A 3139470 D Common Stock 2005-04-25 4 P 0 28820 0.24 A 3168290 D Common Stock 2005-04-22 4 P 0 37840 0.24 A 2568630 D Common Stock 2005-04-25 4 P 0 23580 0.24 A 2592210 D See Exhibit 99.1 for the identities of each Reporting Person and for a table of all shares beneficially owned directly or indirectly by each of the Reporting Persons. Purchased by SC Fundamental Value Fund, L.P Directly owned by SC Fundamental Value Fund, L.P. Purchased by SC Fundamental Value BVI, Ltd. Directly owned by SC Fundamental Value BVI, Ltd. See Exhibit 99.1 for Signatures 2005-04-26 EX-99 2 scfundamental-ex99_1.txt EXHIBIT 99.1 NAME AND ADDRESS OF REPORTING PERSON: SC Fundamental Value Fund, L.P. 747 Third Avenue 27th Floor New York, New York 10017 ISSUER NAME AND TICKER OR TRADING SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 Explanation of Responses: - ------------------------- This Form 4 is filed by SC Fundamental Value Fund, L.P. ("Fund"), SC Fundamental LLC ("SCFLLC"), SC Fundamental Value BVI, LTD., SC - BVI Partners, PMC-BVI, Inc., SC Fundamental BVI, Inc., Peter M. Collery ("Collery"), Neil H. Koffler ("Koffler") and John T. Bird ("Bird") (each a "Reporting Person"). Each Reporting Person is a member of a 13G Group reporting more than 10% ownership of the Common Stock of Tengasco, Inc.
Amount of Securities Ownership Beneficially Owned Form: Following Reported Direct (D) or Nature of Indirect Reporting Person Transaction(s) Indirect (I) Beneficial Ownership ---------------- -------------- ------------ -------------------- SC Fundamental Value Fund, L.P. 3,168,290 D SC Fundamental LLC 3,168,290 I (1) Peter M. Collery 3,168,290 I (2) Neil H. Koffler 3,168,290 I (3) John T. Bird 3,168,290 I (4) SC Fundamental Value BVI, Ltd. 2,592,210 D SC-BVI Partners None SC Fundamental BVI, Inc. None PMC-BVI, Inc. None
(1) Includes shares owned by the Fund. SCFLLC is the general partner of the Fund. (2) Includes shares owned by SCFLLC. Collery is a member of SCFLCC. (3) Includes shares owned by SCFLLC. Koffler is a member of SCFLCC. (4) Includes shares owned by SCFLLC. Bird is a member of SCFLLC. Each Reporting Person disclaims beneficial ownership of all indirectly owned securities reported on this Form in excess of such Reporting Person's pecuniary interest therein. JOINT FILER INFORMATION NAME: SC Fundamental Value Fund, L.P. ADDRESS: 747 Third Avenue 27th Floor New York, New York 10017 ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: SC Fundamental Value Fund, L.P. By: SC Fundamental LLC, as General Partner By: /s/ Neil H. Koffler ------------------------------- Neil H. Koffler Member Dated: April 26, 2005 2 JOINT FILER INFORMATION NAME: SC Fundamental LLC ADDRESS: 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: SC Fundamental LLC By: /s/ Neil H. Koffler -------------------------------- Neil H. Koffler Member Dated: April 26, 2005 3 JOINT FILER INFORMATION NAME: SC Fundamental Value BVI, Ltd. ADDRESS: c/o Citco Fund Services (Cayman Islands) Ltd. Corporate Center West Bay Road Grand Cayman, Cayman Islands DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: SC Fundamental Value BVI, Ltd. By: SC Fundamental BVI, Inc., as managing general partner of investment manager By: /s/ Neil H. Koffler ---------------------------------- Neil H. Koffler Vice President Dated: April 26, 2005 4 JOINT FILER INFORMATION NAME: SC Fundamental BVI, Inc. ADDRESS: 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: SC Fundamental BVI, Inc. By: /s/ Neil H. Koffler --------------------------------- Neil H. Koffler Vice President Dated: April 26, 2005 5 JOINT FILER INFORMATION NAME: SC - BVI Partners ADDRESS: 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: SC - BVI Partners By: SC Fundamental BVI, Inc., as managing general partner By: /s/ Neil H. Koffler ---------------------------------- Neil H. Koffler Vice President Dated: April 26, 2005 6 JOINT FILER INFORMATION NAME: PMC - BVI, Inc. ADDRESS: 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: PMC - BVI, Inc. By: /s/ Neil H. Koffler --------------------------------- Neil H. Koffler Secretary Dated: April 26, 2005 7 JOINT FILER INFORMATION NAME: Peter M. Collery ADDRESS: c/o SC Fundamental LLC 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: /s/ Neil H. Koffler ------------------------------------- Neil H. Koffler as Attorney-in-fact for Peter Collery Dated: April 26, 2005 8 JOINT FILER INFORMATION NAME: Neil H. Koffler ADDRESS: c/o SC Fundamental LLC 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: /s/ Neil H. Koffler ---------------------------------- Neil H. Koffler Dated: April 26, 2005 9 JOINT FILER INFORMATION NAME: John T. Bird ADDRESS: c/o SC Fundamental LLC 747 Third Avenue 27th Floor New York, New York 10017 DESIGNATED FILER: SC Fundamental Value Fund, L.P. ISSUER AND TICKER SYMBOL: Tengasco, Inc. (TGC) DATE OF EARLIEST TRANSACTION REQUIRED TO BE REPORTED: April 22, 2005 RELATIONSHIP OF REPORTING PERSONS TO ISSUER: Member of 13G Group reporting more than 10% ownership. SIGNATURE: /s/ Neil H. Koffler ------------------------- Neil H. Koffler as Attorney-in-fact for John T. Bird Dated: April 26, 2005 10
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