-----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, MaiZ3q3Xdbk/6vCgR9gCHSnQASV2PhcB5egNhCgprje38f/hK/B9a6aipawrowce hsGvxMFw0nd5rkptbrHDBw== 0000950144-97-001640.txt : 19970222 0000950144-97-001640.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950144-97-001640 CONFORMED SUBMISSION TYPE: SC 13G CONFIRMING COPY: PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970220 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RISCORP INC CENTRAL INDEX KEY: 0001003957 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650335150 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-47357 FILM NUMBER: 00000000 BUSINESS ADDRESS: STREET 1: 1390 MAIN ST CITY: SARASOTA STATE: FL ZIP: 34236 BUSINESS PHONE: 9419512022 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MERRITT LESLIE SCOTT /ADV CENTRAL INDEX KEY: 0001003418 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 650578290 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1390 MAIN ST CITY: SARASOTA STATE: FL ZIP: 34236 BUSINESS PHONE: 9419512022 FORMER COMPANY: FORMER CONFORMED NAME: MERRITT LESLIE SCOTT /ADV DATE OF NAME CHANGE: 19970219 SC 13G 1 RISCORP, INC. SCHEDULE 13G 1 THIS DOCUMENT IS A COPY OF THE SCHEDULE 13G FILED ON 2/18/97 PURSUANT TO RULE 201 TEMPORARY HARDSHIP EXEMPTION. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. ) RISCORP, INC. ----------------------------------------- (Name of Issuer) CLASS A COMMON STOCK, PAR VALUE $.01 ----------------------------------------- (Title of Class of Securities) 767597 10 7 ----------------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement / /. (A fee is not required only if the filing 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.) *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). 2 CUSIP NO. 767597 10 7 SCHEDULE 13G PAGE 2 OF 4 PAGES --------------------- ----- ----- (1) NAMES OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS L. SCOTT MERRITT --------------------------------------------------------------------- (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.A. --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 2,158,391 (1) SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY -0- EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 2,158,391 (1) -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -0- -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,158,391 (1) --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES* [ ] --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 15.4% (2) --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* IN --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! (1) Mr. Merritt beneficially owns shares of Class B Common Stock, convertible into shares of Class A Common Stock, as Trustee of the following trusts Charlotte K. Griffin Trust Number 1; Charlotte K. Griffin Trust Number 2; Charlotte K. Griffin Trust Number 3; Anna F. Griffin Trust Number 1; Anna F. Griffin Trust Number 2; Anna F. Griffin Trust Number 3; John Ford Griffin Trust Number 1; John Ford Griffin Trust Number 2; and John Ford Griffin Trust Number 3. (2) Based on 10-Q filed for period ending 10/31/96, 11,855,917 shares of Class A outstanding. PAGE 2 OF 4 PAGES ----- ----- 3 SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 ITEM 1(a). Name of Issuer: RISCORP, INC. ITEM 1(b). Address of Issuer's Principal Executive Offices: 1390 MAIN STREET SARASOTA, FLORIDA 34236 ITEM 2(a) Name of Person Filing: L. SCOTT MERRITT ITEM 2(b) Address of Principal Business Office or, if none, Residence: 1390 MAIN STREET SARASOTA, FLORIDA 34236 ITEM 2(c) Citizenship: U.S.A. ITEM 2(d) Title of Class of Securities: CLASS A COMMON STOCK ITEM 2(e) CUSIP Number: 767597 10 7 ITEM 3. NOT APPLICABLE ITEM 4. OWNERSHIP (a) Amount Beneficially Owned (describe): Mr. Merritt beneficially owns the convertible shares reported hereunder, as trustee of the following trusts: Charlotte K. Griffin Trust Number 1; Charlotte K. Griffin Trust Number 2; Charlotte K. Griffin Trust Number 3; Anna F. Griffin Trust Number 1; Anna F. Griffin Trust Number 2; Anna F. Griffin Trust Number 3; John Ford Griffin Trust Number 1; John Ford Griffin Trust Number 2; and John Ford Griffin Trust Number 3. (b) Percent of Class: 15.4% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 2,158,391 (ii) shared power to vote or to direct the vote: -0- (iii) sole power to dispose or to direct the disposition of: 2,158,391 (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 Page 3 of 4 pages 4 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 DISSOLUTION OF GROUP NOT APPLICABLE ITEM 10. CERTIFICATION NOT APPLICABLE 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. Dated: February 14, 1997 /s/ L. Merritt Scott ------------------------------ Signature Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----