-----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, PGFj8kTUNg8RVglQ20vrbnhTubsn6JlDdVpf9DTPTIW1zXogVHOxKW/bPnA3bYqi Xhplpan8DOIbk4KCe0w38w== 0001140361-04-004972.txt : 20040827 0001140361-04-004972.hdr.sgml : 20040827 20040827094841 ACCESSION NUMBER: 0001140361-04-004972 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040825 FILED AS OF DATE: 20040827 DATE AS OF CHANGE: 20040827 ISSUER: 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 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAWSON EDWARD J CENTRAL INDEX KEY: 0001077608 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 041000621 BUSINESS ADDRESS: STREET 1: 4161 NW 5TH ST CITY: PLANTATION STATE: FL ZIP: 33317 BUSINESS PHONE: 954 308 1250 MAIL ADDRESS: STREET 1: 4161 NW 5TH ST CITY: PLANTATION STATE: FL ZIP: 33317 4 1 doc1.xml FORM 4 X0202 4 2004-08-25 0 0001069996 21ST CENTURY HOLDING CO TCHC 0001077608 LAWSON EDWARD J 3661 WEST OAKLAND PARK BLVD., SUITE 300 LAUDERDALE LAKES FL 33311 1 1 1 0 President and Chairman Common Stock 550373 D Common Stock 458475 I By Spouse Michele V Lawson Common Stock 16950 I In custodial acct of minor child Options Common Stock 44216 44216 D Options Common Stock 13784 13784 I By Spouse Michele V Lawson Change in Amount of Securities is due to sale of shares by spouse as reported on her Form 4. These shares were reported as indirectly owned in the Company's Proxy Statement each year but inadvertently not reported on Mr. Lawson's Form 4 due to clerical error. Mr. Lawson has 44,216 stock options granted to him with various grant dates, expiration dates, vesting and grant prices. Mrs. Lawson has 13,784 stock options granted to her with various grant dates, expiration dates, vesting and grant prices. Edward J. Lawson 2004-08-27 -----END PRIVACY-ENHANCED MESSAGE-----