-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: keymaster@town.hall.org Originator-Key-Asymmetric: MFkwCgYEVQgBAQICAgADSwAwSAJBALeWW4xDV4i7+b6+UyPn5RtObb1cJ7VkACDq pKb9/DClgTKIm08lCfoilvi9Wl4SODbR1+1waHhiGmeZO8OdgLUCAwEAAQ== MIC-Info: RSA-MD5,RSA, Tn2TUBBvh32JTrLC04EzqWT0RU/lQB+vgnLsLqo5Oir9bVtbbBIy+WKHfb+Xi4eN Wm43xUuh/3EFQoCKFeyjag== 0000049071-95-000001.txt : 19950216 0000049071-95-000001.hdr.sgml : 19950216 ACCESSION NUMBER: 0000049071-95-000001 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19950215 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COUNSELLORS TANDEM SECURITIES FUND INC CENTRAL INDEX KEY: 0000798311 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 133367531 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-38068 FILM NUMBER: 95511027 BUSINESS ADDRESS: STREET 1: 103 BELLEVUE PRKY CITY: WILMINGTON STATE: DE ZIP: 19809 BUSINESS PHONE: 3027912919 MAIL ADDRESS: STREET 1: 103 BELLEVUE PARKWAY CITY: WILMINGTON STATE: DE ZIP: 19809 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HUMANA INC CENTRAL INDEX KEY: 0000049071 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 610647538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 500 W MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025803708 FORMER COMPANY: FORMER CONFORMED NAME: EXTENDICARE INC DATE OF NAME CHANGE: 19740404 FORMER COMPANY: FORMER CONFORMED NAME: HERITAGE HOUSE OF AMERICA INC DATE OF NAME CHANGE: 19671129 SC 13G/A 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 COUNSELLORS TANDEM SECURITIES FUND, INC. (Name of Issuer) 5.375% Series Preferred Shares (Title of Class of Securities) 22-2269300 (CUSIP Number) Check the following box if a fee is being paid with the statement ***** * X * ***** (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 22-2269300 13G Page 2 of 4 Pages ********************************************************************* * 1 NAME OF REPORTING PERSON * * S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON * * Humana Inc. shares held through its wholly-owned * * subsidiary (See Note 1) * * 61-0647538 * *___________________________________________________________________* * 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* * * (a) ##### * * # # * * ##### * * * * (b) ##### * * # X # * * ##### * *___________________________________________________________________* * 3 SEC USE ONLY * * * *___________________________________________________________________* * 4 CITIZENSHIP OR PLACE OF ORGANIZATION * * * * Delaware * *___________________________________________________________________* * * ************** 5 SOLE VOTING POWER * * * 80,000 (See Note 1) * * *______________________________________________________* * Number of * * * Shares * 6 SHARED VOTING POWER * *Beneficially* N/A * * Owned by *______________________________________________________* * Each * * * Reporting * 7 SOLE DISPOSITIVE POWER * * Person * 80,000 (See Note 1) * * with *______________________________________________________* * * * * * 8 SHARED DISPOSITIVE POWER * * * N/A * **************______________________________________________________* * 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON * * * * 80,000 (See Note 1) * *___________________________________________________________________* * 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES * * CERTAIN SHARES ##### * * N/A # # * * ##### * *___________________________________________________________________* * * * 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) * * 13.34% (See Note 1) * *___________________________________________________________________* * 12 TYPE OF REPORTING PERSON * * * * CO * ********************************************************************* CUSIP No. 22-2269300 Page 3 of 4 pages ITEM 1(a) Name of Issuer: Counsellors Tandem Securities Fund, Inc. ITEM 1(b) Address of Issuer's Principal Executive Offices: 466 Lexington Avenue New York, NY 10017-3147 ITEM 2(a) Name of Person Filing: Humana Inc. on behalf its wholly-owned subsidiary. (See Note 1) ITEM 2(b) Address of Principal Business Office or, if none, residence: 500 West Main Street Louisville, KY 40202 ITEM 2(c) Citizenship: Delaware ITEM 2(d) Title of Class of Securities: 5.375% Series Preferred Shares ITEM 2(e) Cusip Number: 22-2269300 ITEM 3 If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b), check whether the person filing is a: (a) ( ) Broker or Dealer registered under Section 15 of the Act. (b) ( ) Bank as defined in Section 3(a)(6) of the Act. (c) (X) Insurance Company as defined in Section 3(a)(19) of the Act. (d) ( ) Investment Company registered under Section 8 of the Investment Company Act. (e) ( ) Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940. (f) ( ) Employee Benefit Plan, Pension Fund which is subject to provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see Rule 13d-1(b)(1)(ii)(F). (g) ( ) Parent Holding Company in accordance with Rule 13d-1(b)(ii)(G). (h) ( ) Group, in accordance with Rule 13d-1(b)(1)(ii)(H). ITEM 4 Ownership: (a) Amount Beneficially owned: 80,000 (See Note 1) (b) Percent of Class: 13.34% (See Note 1) (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 80,000 (ii) Shared power to vote or to direct the vote: N/A (iii) Sole power to dispose or to direct the disposition of: 80,000 (iv) Shared power to dispose or to direct the disposition of: N/A CUSIP No. 22-2269300 Page 4 of 4 Pages Note 1 Humana Health Plan, Inc.(1) 80,000 (1) Subsidiary of Humana Inc. Percentage of ownership based on 600,000 shares of the Preferred Stock of Counsellors Tandem Securities Fund, Inc. outstanding at 12/31/94. ITEM 5 Ownership of Five Percent or Less of a Class: If this statement is being filed to report that as of the date hereof, the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ( ). ITEM 6 Ownership of More than Five Percent on Behalf of Another Person. N/A ITEM 7 Identification and Classification of the subsidiary which acquired the security being reported on by the Parent Holding Company: Humana Health Plan, Inc. ITEM 8 Identification and Classification of Members of the Group. N/A ITEM 9 Notice of Dissolution of Group N/A ITEM 10 By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. 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 14, 1995 HUMANA INC. By: Arthur P. Hipwell Senior Vice President and General Counsel -----END PRIVACY-ENHANCED MESSAGE-----