-----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, BFA/0YFWt9ed35K+fzdT9MG6p6abHeddkv/xPzRcHsSycMaLCiw1sE5pnnxxJxah FuZqABSSuskgaTv0hdfQTg== 0001140361-05-002850.txt : 20050412 0001140361-05-002850.hdr.sgml : 20050412 20050412160711 ACCESSION NUMBER: 0001140361-05-002850 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050118 FILED AS OF DATE: 20050412 DATE AS OF CHANGE: 20050412 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DORF CARL CENTRAL INDEX KEY: 0001186092 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 05746344 BUSINESS ADDRESS: STREET 1: 7343 W PERSHING AVENUE CITY: PEORIA STATE: AZ ZIP: 85381 BUSINESS PHONE: 6233349783 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 4 1 doc1.xml FORM 4 X0202 4 2005-01-18 0 0001069996 21ST CENTURY HOLDING CO TCHC 0001186092 DORF CARL 3661 WEST OAKLAND PARK BLVD., SUITE 300 LAUDERDALE LAKES FL 33311 1 0 0 0 Common Stock 2005-01-18 4 J 0 8486 D 5764 I Held by Dorf Partners 2001 LP Common Stock 2005-04-12 4 J 0 900 D 0 I Held by Spouse's child Common Stock 67384 I Held by Dorf Trust Common Stock 1500 I Held jointly with Spouse Options 8.333 2003-06-04 2008-06-04 Common Stock 15000 15000 D Shares transferred from Dorf Partners 2001 LP, a hedge fund directed by the reporting person, in connection with closing the account of an unaffiliated client of reporting person, which transfer was inadvertently not reported. Shares no longer beneficially owned by reporting person. Includes 59,400 shares previously reported as directly owned by reporting person. The options are fully vested. /s/ Carl Dorf 2005-04-12 -----END PRIVACY-ENHANCED MESSAGE-----