-----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, Vxw382D2PFMMWH7VHsY2sMgKQL85pHbFoPJiRY4T/RemQza+NAsL+s+1GQXmI1Vb WlDasgLsuwtbQVlr0Ui+4g== 0001179110-04-001699.txt : 20040126 0001179110-04-001699.hdr.sgml : 20040126 20040126111629 ACCESSION NUMBER: 0001179110-04-001699 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030903 FILED AS OF DATE: 20040126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATHIS M RAY CENTRAL INDEX KEY: 0001215246 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23911 FILM NUMBER: 04542485 BUSINESS ADDRESS: STREET 1: 1030 NW JOHNSON ST STREET 2: APT 324 CITY: PORTLAND STATE: OR ZIP: 97209 BUSINESS PHONE: 5032211515 ISSUER: 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 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 5 1 edgar.xml FORM 5 - X0201 5 2003-09-03 0 0 1 0001048566 FOG CUTTER CAPITAL GROUP INC FCCG 0001215246 MATHIS M RAY 1030 N.W. JOHNSON STREET, APT. 324 PORTLAND OR 97209 1 0 0 0 Common Stock 2003-09-03 4 P 0 L 24.2537 5.36 A 1024.2537 D Common Stock 2004-01-05 4 P 0 L 25.3619 5.25 A 1049.6156 D Common Stock 2003-09-03 4 P 0 L 24.2537 5.36 A 1024.2537 I By Ann-Britt Mathis (Spouse of Reporting Person) Common Stock 2004-01-05 4 P 0 L 25.3619 5.25 A 1049.6156 I By Ann-Britt Mathis (Spouse of Reporting Person) The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of said securities for purposes of Section 16 or for any other purpose. /s/ M. Ray Mathis 2004-01-23 -----END PRIVACY-ENHANCED MESSAGE-----