-----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, TfOpeItoiKOH1Km3C2h3QJaBhxMXSBzKEm5oPgLEG79msGsanhUvrWxTJu/86/jP fLyauPlfXYpOpuntHGJvbQ== 0001012975-02-000020.txt : 20020414 0001012975-02-000020.hdr.sgml : 20020414 ACCESSION NUMBER: 0001012975-02-000020 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CROSS COUNTRY INC CENTRAL INDEX KEY: 0001141103 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 134066229 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-78032 FILM NUMBER: 02542365 BUSINESS ADDRESS: STREET 1: 6551 PARK OF COMMERCE BLVD STREET 2: SUITE 200 CITY: BOCA RATON STATE: FL ZIP: 33487 BUSINESS PHONE: 8003472264 MAIL ADDRESS: STREET 1: 6551 PARK COMMERCE BLVD STREET 2: SUITE 200 CITY: BOCA RATON STATE: FL ZIP: 33487 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CHARTERHOUSE EQUITY PARTNERS III LP CENTRAL INDEX KEY: 0001086599 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O INTERLIANT INC STREET 2: 215 FIRST ST. CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 6173744700 SC 13G 1 e902288.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------- SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. ) CROSS COUNTRY, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, $.0001 PAR VALUE - -------------------------------------------------------------------------------- (Title of Class of Securities) 22748P105 - -------------------------------------------------------------------------------- (CUSIP Number) NOT APPLICABLE - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-1(c) [X] Rule 13d-1(d) Page 1 of 5 CUSIP No. 22748P105 13G Page 2 of 5 Pages ________________________________________________________________________________ 1. NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Charterhouse Equity Partners III, L.P. 52-2047386 ________________________________________________________________________________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [_] (b) [_] ________________________________________________________________________________ 3. SEC USE ONLY ________________________________________________________________________________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION Delaware ________________________________________________________________________________ NUMBER OF 5. SOLE VOTING POWER SHARES 12,575,475 _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 12,575,475 _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 12,575,475 _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER WITH 12,575,475 ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 12,575,475 ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [_] ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 39.1% ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON PA ________________________________________________________________________________ Page 2 of 5 ITEM 1(a). NAME OF ISSUER: Cross Country, Inc. ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 6551 Park of Commerce Blvd., N.W. Suite 200 Boca Raton, FL 33487 ITEM 2(a). NAME OF PERSON FILING: Charterhouse Equity Partners III, L.P. ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 1105 N. Market Street Suite 1300 Wilmington, DE 19899 ITEM 2(c). CITIZENSHIP: Delaware ITEMS 2(d). TITLE OF CLASS OF SECURITIES: Common Stock, $.0001 par value ITEM 2(e). CUSIP NUMBER: 22748P105 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: Not Applicable Page 3 of 5 ITEM 4. OWNERSHIP (a) Amount beneficially owned: 12,575,475 shares of Common Stock, $.0001 par value (b) Percent of class: 39.1% (c) Number of shares as to which person has:
(i) Sole power to vote or to direct the vote 12,575,475 (ii) Shared power to vote or direct the vote 12,575,475 (iii) Sole power to dispose or to direct the disposition of 12,575,475 (iv) Shared power to dispose or to direct the disposition of 12,575,475
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS Not Applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not Applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not Applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not Applicable. ITEM 9. NOTICE OF DISSOLUTION OF THE GROUP Not Applicable. ITEM 10. CERTIFICATION Not Applicable Page 4 of 5 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 13, 2002 CHARTERHOUSE EQUITY PARTNERS III, L.P. By: CHUSA Equity Investors III, L.P., general partner By: Charterhouse Equity III, Inc., general partner By: /s/ Lori A. Livers ------------------------------------- Name: Lori A. Livers Title: Senior Vice President Page 5 of 5 -----END PRIVACY-ENHANCED MESSAGE-----