-----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, GkypxIQwm0Z5DveWbePCD/L3Z9OT7BM8NpPmWdMAoBk5Bvqoo5F+YE6wtNTsWCub E7OzJo7HeTmjrOyOFbYCbw== 0001042910-00-000223.txt : 20000216 0001042910-00-000223.hdr.sgml : 20000216 ACCESSION NUMBER: 0001042910-00-000223 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000215 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: 21ST CENTURY HOLDING CO CENTRAL INDEX KEY: 0001069996 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650248866 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-55363 FILM NUMBER: 544309 BUSINESS ADDRESS: STREET 1: 4161 N W 5TH STREET CITY: PLANTATION STATE: FL ZIP: 33317 BUSINESS PHONE: 9545819993 MAIL ADDRESS: STREET 1: 4161 N W 5TH STREET CITY: PLANTATION STATE: FL ZIP: 33317 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LAWSON TED CENTRAL INDEX KEY: 0001077608 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 4161 NW 5TH ST CITY: PLANTATION STATE: FL ZIP: 33317 BUSINESS PHONE: 9545819993 MAIL ADDRESS: STREET 1: 4161 NW 5TH ST CITY: PLANTATION STATE: FL ZIP: 33317 SC 13G/A 1 SCHEDULE 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Amendment No. 1 Under the Securities Exchange Act of 1934 21st CENTURY HOLDING COMPANY - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 Par Value - -------------------------------------------------------------------------------- (Title of Class of Securities) 90136Q100 - -------------------------------------------------------------------------------- (CUSIP Number) CUSIP No. 90136Q100 1 NAMES OF REPORTING PERSONS Edward J. Lawson -------------------------- S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS 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 624,889 ---------------------------- NUMBER OF SHARES 6 SHARED VOTING POWER 627,089 BENEFICIALLY -------------------------- OWNED BY EACH 7 SOLE DISPOSITIVE POWER 624,889 REPORTING ----------------------- PERSON WITH 8 SHARED DISPOSITIVE POWER 627,089 --------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,251,978(1) 10 CHECK IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES N/A 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 36.9%(2) --------------------- 12 TYPE OF REPORTING PERSON (See Instructions) IN --------------------- - -------------------- 1 Represents 608,889 shares of Common Stock owned directly by Edward Lawson, 16,000 shares of Common Stock owned by Edward Lawson held pursuant to the grant of stock options, 608,889 owned directly by Michele Lawson, Edward Lawson's spouse, 10,000 shares of Common Stock owned by Michele Lawson, Edward Lawson's spouse, held pursuant to the grant of stock options, 2,500 shares owned jointly by Edward and Michele Lawson and 5,700 shares of Common Stock held as custodian for a minor child. 2 Calculated on the basis of 3,370,000 shares of Common Stock outstanding on December 31, 1999. Page 2 of 5 Item 1(a). Name of Issuer: 21st Century Holding Company Item 1(b). Address of Issuer's Principal Executive Offices: 4161 NW 5th Street Plantation, FL 33317 Item 2(a). Name of Person Filing: Edward J. Lawson Item 2(b). Address of Principal Business Office or, if none, Residence: 4161 NW 5th Street Plantation, FL 33317 Item 2(c). Citizenship: See Item 4 on Cover Page U.S.A. Item 2(d). Title of Class of Securities: Common Stock, $.01 Par Value Item 2(e). CUSIP Number: 90136Q100 Item 3 If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b) or (c), check whether the person filing is a: Not applicable. Item 4. Ownership: (a) Amount Beneficially Owned: 1,251,978(1) shares. (b) Percent of Class: 36.9%(2) - -------------------- 1 Represents 608,889 shares of Common Stock owned directly by Edward Lawson, 16,000 shares of Common Stock owned by Edward Lawson held pursuant to the grant of stock options, 608,889 owned directly by Michele Lawson, Edward Lawson's spouse, 10,000 shares of Common Stock owned by Michele Lawson, Edward Lawson's spouse, held pursuant to the grant of stock options, 2,500 shares owned jointly by Edward and Michele Lawson and 5,700 shares of Common Stock held as custodian for a minor child. 2 Calculated on the basis of 3,370,000 shares of Common Stock outstanding on December 31, 1999. Page 3 of 5 (c) Number of shares as to which such person has:
(i) sole power to vote or to direct to vote 624,889 shares -------------- (ii) shared power to vote or to direct the vote 627,089 shares -------------- (iii) sole power to dispose or to direct the disposition of 624,889 shares -------------- (iv) shared power to dispose or to direct disposition of 627,089 shares --------------
Item 5. Ownership of Five Percent or Less of a Class: If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ] 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. Page 4 of 5 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, 2000. /s/ Edward J. Lawson -------------------- Edward J. Lawson Page 5 of 5 -----END PRIVACY-ENHANCED MESSAGE-----