-----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, I3sf5GAW617SVJotdbK4RcsXZttwmkKg8lPeCCVDKHgzporEe3/dNj4uObCHf6zK pwQ3AGtphB1hx+vJH5FyQA== 0001179110-04-006248.txt : 20040318 0001179110-04-006248.hdr.sgml : 20040318 20040318121622 ACCESSION NUMBER: 0001179110-04-006248 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WIEDERHORN ANDREW CENTRAL INDEX KEY: 0001033016 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23911 FILM NUMBER: 04677133 BUSINESS ADDRESS: STREET 1: C/O WILSHIRE FINANCIAL SERVICES GROUP STREET 2: 1776 SW MADISON STREET CITY: PORTLAND STATE: OR ZIP: 97205 BUSINESS PHONE: 5032235600 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/A 1 edgar.xml FORM 5/A - X0201 5/A 2003-12-31 2004-02-11 0 0 0 0001048566 FOG CUTTER CAPITAL GROUP INC FCCG 0001033016 WIEDERHORN ANDREW C/O FOG CUTTER CAPITAL GROUP INC. 1410 SW JEFFERSON STREET PORTLAND OR 97201-2548 1 1 1 0 Chief Executive Officer Common Stock 2000 D Common Stock 413755 I By Spouse Common Stock 250000 I By GRAT Common Stock 951709 I By LP Common Stock 13826 I By LLC Common Stock 128376 I By Minor Children This amendment is filed to correct the beneficial ownership of the spouse of the Reporting Person at December 31, 2003. A Form 5 filed on February 11, 2004, incorrectly reported that the spouse of the Reporting Person beneficially owned 403,755 shares of Common Stock at December 31, 2003. The spouse of the Reporting Person actually owned 413,755 shares of Common Stock at December 31, 2003. The Tiffany A. Wiederhorn Grantor Retained Annuity Trust I ("GRAT"), of which the spouse of the Reporting Person is the grantor and trustee, transferred 7,965 shares of Common Stock to the spouse of the Reporting Person on January 20, 2004. The beneficial ownership of the spouse of the Reporting Person after this transfer is 421,720 shares of Common Stock. The GRAT beneficially owned 242,035 shares of Common Stock after this transfer. 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. These securities are held by the Tiffany A. Wiederhorn Grantor Retained Annuity Trust I of which the spouse of the reporting person is the trustee and grantor. These securities are held by TTMM, LP, a partnership controlled by the spouse of the Reporting Person. TTMM, LP owns 49.619% of the interests of WM Starlight Investments, LLC. These securities are held by WM Starlight Investments, LLC, a limited liability company. The Reporting Person's spouse is the managing member and owner of 50.381% of the interests of WM Starlight Investments, LLC. TTMM, LP is the owner of the remaining interests, /s/ Andrew A. Wiederhorn 2004-03-17 -----END PRIVACY-ENHANCED MESSAGE-----