-----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, QhIqSrcB0i3qP9szE2Du/PKVG8i86T0yNHLVpdV7cBRkreUkxhUSsEguQFuYezJD poivhx0mQhVOeNkZa7NRUw== 0001047469-03-003728.txt : 20030203 0001047469-03-003728.hdr.sgml : 20030203 20030203165411 ACCESSION NUMBER: 0001047469-03-003728 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030114 FILED AS OF DATE: 20030203 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: MATHIS M RAY CENTRAL INDEX KEY: 0001215246 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 1030 NW JOHNSON ST STREET 2: APT 324 CITY: PORTLAND STATE: OR ZIP: 97209 BUSINESS PHONE: 5032211515 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FOG CUTTER CAPITAL GROUP INC CENTRAL INDEX KEY: 0001048566 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 522081138 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23911 FILM NUMBER: 03536919 BUSINESS ADDRESS: STREET 1: 1631 SW COLUMBIA STREET CITY: PORTLAND STATE: OR ZIP: 97201 BUSINESS PHONE: 5037216500 MAIL ADDRESS: STREET 1: 1310 S W 17TH ST CITY: PORTLAND STATE: OR ZIP: 97201 FORMER COMPANY: FORMER CONFORMED NAME: WILSHIRE REAL ESTATE INVESTMENT TRUST INC DATE OF NAME CHANGE: 19971027 3 1 a2101080z3.htm FORM 3

SEC 1473
(09-02)
  POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.


        FORM 3




(Print or Type Responses)
  UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF
BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
 
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1.   Name and Address of Reporting Person*   2.   Date of Event Requiring Statement
(Month/Day/Year)
  4.   Issuer Name and Ticker or Trading Symbol
    Mathis   M.   Ray       1/14/03       Fog Cutter Capital Group Inc. (FCCG)    

 
 
    (Last)   (First)   (Middle)   3.   I.R.S. Identification Number of Reporting Person, if an entity (voluntary)   5.   Relationship of Reporting Person(s) to Issuer (Check all applicable)   6.   If Amendment, Date of Original
(Month/Day/Year)
                          X   Director            10% Owner        
1030 N.W. Johnson Street, Apt. 324                            

(Street)
 
                 Officer
              (give title
                below)
                 Other
              (specify
                below)
 
                                    7.   Individual or Joint/Group Filing
    Portland   OR   97209                            

         
      (Check Applicable Line)
    (City)   (State)   (Zip)                               X     Form filed by One Reporting Person
               Form filed by More than One Reporting Person

Table I — Non-Derivative Securities Beneficially Owned


1.   Title of Security
(Instr. 4)
  2.   Amount of Securities
Beneficially Owned
(Instr. 4)
  3.   Ownership Form:
Direct (D) or Indirect (I)
(Instr. 5)
  4.   Nature of Indirect
Beneficial Ownership
(Instr. 5)

                             

                             

                             

                             

                             

                             

                             

                             

                             

                             

                             

                             


FORM 3 (Continued)   Table II — Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
   

1.   Title of Derivative Security
(Instr. 4)
  2.   Date Exercisable and Expiration Date
(Month/Day/Year)
  3.   Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
  4.   Conversion or Exercise Price of Derivative Security   5.   Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
  6.   Nature of Indirect Beneficial Ownership
(Instr. 5)
                                 
       
                       
            Date
Exercisable
  Expiration
Date
      Title   Amount or Number of Shares                        

Option (right to buy)       1/14/03   1/14/13       Common Stock   5,000   $3.75 per share   D        

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

Explanation of Responses:

/s/ M. Ray Mathis   January 20, 2003

**Signature of Reporting Person
 
Date

  *If the form is filed by more than one reporting person, see Instruction 5(b)(v)

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

http://www.sec.gov/divisions/corpfin/forms/form3.htm
Last update: 09/03/2002



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