-----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, K0iMrZ3SYK9zdBjQwGmCxHJCwOuqnavoVITdDMCOqlYsUyC0HAeleB0aoGf81Eku UqTSLVj81pI9AYy7EAvHXw== 0001144204-04-022811.txt : 20041227 0001144204-04-022811.hdr.sgml : 20041224 20041227153420 ACCESSION NUMBER: 0001144204-04-022811 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041221 ITEM INFORMATION: Entry into a Material Definitive Agreement FILED AS OF DATE: 20041227 DATE AS OF CHANGE: 20041227 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: 041226427 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 form8k.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: December 21, 2004 (Date of earliest event reported) 21ST CENTURY HOLDING COMPANY (Exact name of registrant as specified in its charter) Florida 0-2500111 65-0248866 - ------------------------------- -------------------------------- ------------------------------------------ (State or other jurisdiction of (Commission File Number) (I.R.S. Employer Identification No.) incorporation)
3661 West Oakland Park Blvd., Suite 300 Lauderdale Lakes, FL 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 to Rule 14a-12 under the Exchange Act (17 CFR 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 CFT 240.13e-4( c)) ITEM 1.01 ENTRY INTO A MATERIAL DEFINITIVE AGREEMENT. ------------------------------------------- 21st Century Holding Company (the "Company") and its wholly owned subsidiaries, Federated Agency Group, Inc. ("Federated") and Assurance Managing General Agents, Inc. ("Assurance," and together with Federated, the "Sellers"), have entered into an Asset Purchase Agreement dated December 21, 2004 (the "Asset Purchase Agreement") with Fed USA Retail, Inc. and Fed USA Franchising, Inc. (together, the "Buyers"). Pursuant to the Asset Purchase Agreement, the Sellers have agreed to sell to the Buyers certain assets relating to the Sellers' non-standard automobile insurance agency business located in Florida (the "Agency Business") for a purchase price of: o $7,000,000 payable at closing and o an additional payment of up to $2,500,000 calculated based on 10% of the "Gross Net Written Premiums" (as defined in the Asset Purchase Agreement) through the Company's two insurance company subsidiaries or through any insurance company affiliated with the Buyers for gross net written premiums that exceed $15,000,000 in the aggregate and are less than $40,000,000 in the aggregate with respect to Agency Business written by the Buyers during the 12-month period following the closing. This additional payment, if any, is due and payable 45 days after the end of the 12-month period following the closing. The Buyers have agreed to assume specified liabilities related to the assets purchased. All other liabilities are being retained by the Sellers. The parties currently expect that the sale of assets under the Asset Purchase Agreement will close by the end of 2004. The Buyers are affiliates of Affirmative Insurance Holdings, Inc. ("Affirmative"), an insurance holding company based in Addison, Texas. Affirmative has agreed to guarantee the Buyers' obligations to make the post-closing payment described above. 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: December 27, 2004 By: /s/ RICHARD A. WIDDICOMBE ---------------------------------------- Name: Richard A. Widdicombe Title: Chief Executive Officer (Principal Executive Officer) Date: December 27, 2004 By: /s/ JAMES GORDON JENNINGS, III ---------------------------------------- Name: James Gordon Jennings, III Title: Chief Financial Officer (Principal Accounting and Financial Officer)
-----END PRIVACY-ENHANCED MESSAGE-----