-----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, QAsH8aU3ezhPgQtSDHqejFnmuh4wJF1TKZZ3fFJIlXg9osbKguWuVnc0ZLlZ12mk GebpaTH4wFVWkZeoqHtU+g== 0001140361-05-010618.txt : 20051207 0001140361-05-010618.hdr.sgml : 20051207 20051207142002 ACCESSION NUMBER: 0001140361-05-010618 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051205 FILED AS OF DATE: 20051207 DATE AS OF CHANGE: 20051207 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: 3661 WEST OAKLAND PARK BLVD STREET 2: SUITE 300 CITY: LAUDERDALE LAKES STATE: FL ZIP: 33311 BUSINESS PHONE: 9545819993 MAIL ADDRESS: STREET 1: 3661 WEST OAKLAND PARK BLVD STREET 2: SUITE 300 CITY: LAUDERDALE LAKES STATE: FL ZIP: 33311 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: 051249267 BUSINESS ADDRESS: STREET 1: 7343 W PERSHING AVENUE CITY: PEORIA STATE: AZ ZIP: 85381 BUSINESS PHONE: 6233349783 MAIL ADDRESS: STREET 1: 7343 WEST PERSHING AVENUE CITY: PEORIA STATE: AZ ZIP: 85387 4 1 doc1.xml FORM 4 X0202 4 2005-12-05 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 67384 I Held by Dorf Trust Common Stock 5764 I Held by Dorf Partners 2001 LP Common Stock 1500 I Held jointly with Spouse Options 15.79 2005-12-05 4 A 0 10000 A 2006-12-05 2011-12-05 Common Stock 10000 10000 D Options 8.333 2003-06-04 2008-06-04 Common Stock 15000 15000 D On 12/5/2005 the Board of Directors granted Mr. Dorf stock options for his service as a Director and Committee member. The options vest 20% per year. The stock options are fully vested. /s/ Carl Dorf 2005-12-07 -----END PRIVACY-ENHANCED MESSAGE-----