-----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, S/MlBh9pXGcpcQaJybp0fVJYOBarnbmUBBQc63ntBPf+KqJdHhKUK9pYkusg+36Y gntQLwDmYd9LzZS1NEirmw== 0001140361-05-001306.txt : 20050214 0001140361-05-001306.hdr.sgml : 20050214 20050214155433 ACCESSION NUMBER: 0001140361-05-001306 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 05609811 BUSINESS ADDRESS: BUSINESS PHONE: 954 308 1250 MAIL ADDRESS: STREET 1: 4161 NW 5TH ST CITY: PLANTATION STATE: FL ZIP: 33317 5 1 doc1.xml FORM 5 X0202 5 2004-12-31 0 0 0 0001069996 21ST CENTURY HOLDING CO TCHC 0001077608 LAWSON EDWARD J 3661 WEST OAKLAND PARK BLVD SUITE 300 LAUDERALE LAKES FL 33311 1 1 1 0 PRESIDENT & CHAIRMAN Common Stock 2003-07-01 5 G 0 L 1500 D 824060 D Common Stock 2003-07-01 5 G 0 L 1500 D 822560 D Common Stock 2004-11-23 5 G 0 3600 D 818960 D Common Stock 681713 I By Spouse Michele V Lawson Common Stock 25425 I In custodial acct of minor child Options Common Stock 66324 66324 D Options Common Stock 20676 20676 I By Spouse Michele V Lawson Total shares disposed of (gifted) reported is post-split (3-for-2 split in September 2004); actual amount of shares disposed of (gifted) pre-split was 1,000. Gifted stock was inadvertently unreported due to an administrative oversight. Mr. Lawson has 44,216 stock options granted to him with various grant dates, expiration dates, vesting schedules and grant prices. Mrs. Lawson has 13,784 stock options granted to her with various grant dates, expiration dates, vesting schedules and grant prices. Edward J Lawson 2005-02-14 -----END PRIVACY-ENHANCED MESSAGE-----