-----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, MewQnhy/gFxAVuup/86h6E5tkVIK6yW7U0iXSWhYKLkpcvgfPFMmUqwoQFhxD/Su O3E0t1xNNRy/I7AtDbXAvA== 0001144204-04-015790.txt : 20041006 0001144204-04-015790.hdr.sgml : 20041006 20041006134218 ACCESSION NUMBER: 0001144204-04-015790 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 ITEM INFORMATION: Entry into a Material Definitive Agreement ITEM INFORMATION: Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant ITEM INFORMATION: Unregistered Sales of Equity Securities FILED AS OF DATE: 20041006 DATE AS OF CHANGE: 20041006 FILER: 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: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-25001 FILM NUMBER: 041067890 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 8-K 1 v07326form8k.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): September 30, 2004 ------------------ 21st CENTURY HOLDING COMPANY (Exact name of registrant as specified in its charter) Florida 0-2500111 65-0248866 - --------------------- --------------- ---------- (State or other (Commission (IRS Employer jurisdiction of File Number) Identification No.) incorporation) 3661 West Oakland Park Boulevard, Suite 300, Lauderdale Lakes, Florida 33311 - ---------------------------------------------------------------------- ----- (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code (954) 581-9993 -------------- Not Applicable --------------------------------------------------- (Former name or former address, if changed since last report) Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below): [_] Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) [_] Soliciting material pursuant o Rule 14a-12 under the Exchange Act (17 CF 240.14a-12) [_] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) [_] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) Item 1.01 Entry into a Material Definitive Agreement The Offering by 21st Century Holding Company (the "Company") of its Units described in Item 3.02 below was made pursuant to a Unit Purchase Agreement (the "Purchase Agreement") among the Company and the purchasers of the Units. The Purchase Agreement sets forth covenants and representations of the parties typical for private offerings. The Company and the purchasers also entered into a Registration Rights Agreement pursuant to which the Company agreed to register the resale of the Warrants included in the Units (as described below); the shares of the Company's common stock, par value $0.01 per share (the "Common Stock"), underlying the Warrants; and the shares of Common Stock issued by the Company in payment of principal and interest on the Notes (as described below). Item 2.03 Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant See responses to Items 1.01 and 3.02. Item 3.02 Unregistered Sales of Equity Securities On September 30, 2004, the Company sold in a private offering (the "Offering") 12,500 units (the "Units"), each Unit consisting of (i) a $1,000 6% Senior Subordinated Note (the "Note"), and (ii) warrants (the "Warrants") to purchase shares of the Company's Common Stock, for an aggregate purchase price of $12.5 million. An aggregate of 1,019,608 Warrants were issued in the Offering. Each Warrant entitles the holder to purchase one share of the Company's Common Stock at an exercise price of $12.75 per share. The Offering was made only to accredited investors in reliance on the exemption from registration under Rule 506 of Regulation D under the Securities Act of 1933. Quarterly payments of principal and interest on the Notes may, under certain circumstances, be made in shares of Common Stock. The number of shares of Common Stock issued as payment of principal and interest is based on 95% of the weighted-average volume price of the Company's Common Stock quoted on Nasdaq as reported by Bloomberg Financial Markets ("Bloomberg") for the 20 trading days prior to the payment date. Pursuant to the Unit Purchase Agreement, the Company will not issue shares of Common Stock as payment of principal and interest or adjust the number of shares issuable upon exercise of the Warrants in accordance with the anti-dilution provisions of the Warrants, if such issuance or adjustment would, either individually or together with other one or more other issuances or adjustments, cause the issuance of shares of Common Stock to exceed 20% of the Common Stock outstanding, prior to obtaining shareholder approval for such issuance. SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. 21ST CENTURY HOLDING COMPANY Date: October 6, 2004 By:/s/ Richard A. Widdicombe --------------------------------------------- Name: Richard A. Widdicombe Title: Chief Executive Officer (Principal Executive Officer) Date: October 6, 2004 By:/s/ J. Gordon Jennings III --------------------------------------------- Name: J. Gordon Jennings III Title: Chief Financial Officer (Principal Accounting and Financial Officer) -----END PRIVACY-ENHANCED MESSAGE-----