-----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, FPW44lWx8vJ+ZUhKwNpnLt1P70B1F5fPP+v6WBloEkCmx34RETyCVe8uQD4A7S5+ mcm/pqoS+N2lLzBPdl9uBg== 0001021771-05-000011.txt : 20050124 0001021771-05-000011.hdr.sgml : 20050124 20050124142417 ACCESSION NUMBER: 0001021771-05-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050115 FILED AS OF DATE: 20050124 DATE AS OF CHANGE: 20050124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AIA ACQUISITION CORP CENTRAL INDEX KEY: 0001263896 STATE OF INCORPORATION: PA FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-01665 FILM NUMBER: 05544013 MAIL ADDRESS: STREET 1: 6787 MARKET STREET CITY: UPPER DARBY STATE: PA ZIP: 19082 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DCAP GROUP INC/ CENTRAL INDEX KEY: 0000033992 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 362476480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 90 MERRICK AVE STREET 2: 9TH FLOOR CITY: EAST MEADOW STATE: NY ZIP: 11554 BUSINESS PHONE: 5167946300 MAIL ADDRESS: STREET 1: 90 MERRICK AVE 9TH FLOOR STREET 2: 90 MERRICK AVE 9TH FLOOR CITY: EAST MEADOW STATE: NY ZIP: 11554 FORMER COMPANY: FORMER CONFORMED NAME: EXTECH CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: EXECUTIVE HOUSE INC DATE OF NAME CHANGE: 19911119 4 1 aia1204_ex.xml FORM 4 - AIA ACQUISITION CORP. X0202 4 2005-01-15 0 0000033992 DCAP GROUP INC/ DCAP 0001263896 AIA ACQUISITION CORP 6787 MARKET STREET UPPER DARBY PA 19082 0 0 1 0 Common Stock 2005-01-15 4 C 0 49600 2.50 A 49600 D Series A Preferred Stock 2.50 2005-01-15 4 C 0 124 2.50 D 2003-08-06 Common Stock 49600 780 D The Reporting Person has the right to convert the Series A Preferred Stock into Common Stock until the Series A Preferred Stock is redeemed by the Issuer. Note: All share numbers and the conversion price give effect to the Issuer's one-for-five reverse split of its Common Stock effective August 26, 2004. AIA Acquisition Corp. By: /s/ Steven Shapiro, President 2005-01-24 -----END PRIVACY-ENHANCED MESSAGE-----