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