-----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, HpirJvHBinl5VF+dN1IbUy/bYpKoYhzPyED/1Kfk8OKX622eQssQo9ohxKj2l3wO hINGgTM4lUISsJTcqu0Hdg== 0000897069-99-000382.txt : 19990719 0000897069-99-000382.hdr.sgml : 19990719 ACCESSION NUMBER: 0000897069-99-000382 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990716 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MOBILE AMERICA CORP CENTRAL INDEX KEY: 0000067199 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 591218935 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-08080 FILM NUMBER: 99665763 BUSINESS ADDRESS: STREET 1: 10475 FORTUNE PARKWAY STREET 2: SUITE 110 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: 9043636339 MAIL ADDRESS: STREET 1: 10475 FORTUNE PARKWAY STREET 2: SUITE 110 CITY: JACKSONVILLE STATE: FL ZIP: 32256 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: THOMAS ROBERT III CENTRAL INDEX KEY: 0000924422 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 314 S BROAD ST CITY: THOMASVILLE STATE: GA ZIP: 31792 MAIL ADDRESS: STREET 1: 314 S BROAD ST CITY: THOMASVILLE STATE: GA ZIP: 31792 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. *) MOBILE AMERICA CORPORATION - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, par value $0.025 - -------------------------------------------------------------------------------- (Title of Class of Securities) 607235504 ------------------------------------------------------------------------ (CUSIP Number) June 16, 1999 - -------------------------------------------------------------------------------- (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) |X| Rule 13d-1(c) |_| Rule 13d-1(d) * 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 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). (Continued on following page(s)) Page 1 of 5 pages - ------------------------------------------------------ CUSIP No. 607235504 - ------------------------------------------------------ ================================================================================ 1 NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Robert Thomas, III ================================================================================ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] ================================================================================ 3 SEC USE ONLY ================================================================================ 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States ================================================================================ 5 SOLE VOTING POWER NUMBER OF 63,739 SHARES ===================================================== BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 56,285 EACH ===================================================== REPORTING 7 SOLE DISPOSITIVE POWER PERSON 63,739* WITH ===================================================== 8 SHARED DISPOSITIVE POWER 396,170* ================================================================================ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 459,909 ================================================================================ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] ================================================================================ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.3% ================================================================================ 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN ================================================================================ * Reporting Person Disclaims Beneficial Ownership pursuant to SEC Rule 13d-4. - ------------------------------------------------------ CUSIP No. 607235504 - ------------------------------------------------------ Item 1(a). Name of Issuer: --------- Mobile America Corporation Item 1(b). Address of Issuer's Principal Executive Offices: --------- 10457 Fortune Parkway, Suite 110 Jacksonville, Florida Item 2(a). Name of Person Filing: --------- Robert Thomas, III Item 2(b). Address of Principal Business Office or, if none, --------- Residence: P.O. Box 635 Thomasville, Georgia Item 2(c). Citizenship: --------- United States Item 2(d). Title of Class of Securities: --------- Common Stock, par value $0.025 Item 2(e). CUSIP Number: --------- 6072135504 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: Not Applicable Item 4. Ownership (as of July 1, 1999) ------- (a) Amount Beneficially Owned: 459,909(1)(2)(3) (b) Percent of Class: 6.3% - ------------------------------------------------------ CUSIP No. 607235504 - ------------------------------------------------------ (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 63,739(1) (ii) shared power to vote or to direct the vote: 56,285(2) (iii) sole power to dispose or to direct the disposition of: 63,739(1) (iv) shared power to dispose or to direct the disposition of: 396,170(2)(3) (1) Includes (i) 36,489 shares held by the Report- ing Person and (ii) immediately exercisable options to acquire 27,250 shares held by the Reporting Person. (2) Includes (i) 15,075 shares held by the Report- ing Person's wife and (ii) 41,210 shares held by a community foundation for which the Report- ing Person serves as a member of the Board of Directors and Investment Committee. (3) Includes 339,885 shares held by a family limited partnership for which the Reporting Person serves as a financial advisor. 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 Group. ------- Not Applicable Item 10. Certification. ------- By signing below, I hereby certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose 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. July 16, 1999 Date /s/ Robert Thomas, III ---------------------------------- Robert Thomas, III -----END PRIVACY-ENHANCED MESSAGE-----