-----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, RfNna8wnYpfGu86j5sHV0wLbON9YpdiTXJXOooV5FuEo7ltr4jHaupGeEmesZdy8 6a59GoJBC3qwedVXU1oxxA== 0000950137-97-002108.txt : 19970605 0000950137-97-002108.hdr.sgml : 19970605 ACCESSION NUMBER: 0000950137-97-002108 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 4 FILED AS OF DATE: 19970604 SROS: NONE GROUP MEMBERS: ALPHABET PARTNERS GROUP MEMBERS: ANN AND ROBERT H. LURIE FAMILY FOUNDATION GROUP MEMBERS: ANN LURIE GROUP MEMBERS: ANN LURIE REVOCABLE TRUST GROUP MEMBERS: ARLINGTON LEASING CO. GROUP MEMBERS: EQUITY CAPSURE LIMITED PARTNERSHIP GROUP MEMBERS: LFT PARTNERSHIP GROUP MEMBERS: SAMUEL ZELL GROUP MEMBERS: SAMUEL ZELL REVOCABLE TRUST GROUP MEMBERS: ZELL SAMUEL GROUP MEMBERS: ZFT PARTNERSHIP SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CAPSURE HOLDINGS CORP CENTRAL INDEX KEY: 0000073313 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 341010356 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-47011 FILM NUMBER: 97618854 BUSINESS ADDRESS: STREET 1: 2 N RIVERSIDE PLZ STE 600 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3128791900 MAIL ADDRESS: STREET 1: TWO NORTH RIVERSIDE PLAZA CITY: CHICAGO STATE: IL ZIP: 60606 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ZELL SAMUEL CENTRAL INDEX KEY: 0001024193 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: TWO N RIVERSIDE PLAZA SUITE 600 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3124540100 MAIL ADDRESS: STREET 1: TWO N RIVERSIDE PLAZA STREET 2: SUITE 600 CITY: CHICAGO STATE: IL ZIP: 60606 SC 13D/A 1 AMEND. NO. 1 TO SC13D 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 2 )* Capsure Holdings Corp. - ------------------------------------------------------------------------------- (NAME OF ISSUER) Common Stock, par value $.05 per value - ------------------------------------------------------------------------------- (TITLE OF CLASS OF SECURITIES) 140673104 - ------------------------------------------------------------------------------- (CUSIP NUMBER) Susan Obuchowski Two N. Riverside Plaza, Suite 600, Chicago, IL 60606 (312) 466-4010 - ------------------------------------------------------------------------------- (NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON AUTHORIZED TO RECEIVE NOTICES AND COMMUNICATIONS) May 23, 1997 - ------------------------------------------------------------------------------- (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ]. Check the following box if a fee is being paid with the statement [ ]. (A fee is not required only if the reporting 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). NOTE: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *The remainder of this cover page shall be filled our 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). Page 1 of 21 2 - ------------------- ------------ CUSIP No. 140673104 13D Page 2 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Samuel Zell ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION USA - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES 55,000 BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH 3,552,862 --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER 55,000 --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 3,552,862 - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,607,862 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 22.7% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 3 - ------------------- ------------ CUSIP No. 140673104 13D Page 3 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Samuel Zell Revocable Trust U/T/A 01/17/90 ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH 3,552,862 --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 3,552,862 - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,552,862 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 22,4% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* 00 - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 4 - ------------------- ------------ CUSIP No. 140673104 13D Page 4 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Alphabet Partners, an Illinois general partnership 36-3002855 - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 730,141 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 4.6% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* PN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 5 - ------------------- ------------ CUSIP No. 140673104 13D Page 5 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON ZFT Partnership, an Illinois general partnership 36-3022976 - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 730,141 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 4.6% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* PN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 6 - ------------------- ------------ CUSIP No. 140673104 13D Page 6 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Ann Lurie ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION USA - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH 486,760 --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 486,760 - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 486,760 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 3.1% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 7 - ------------------- ------------ CUSIP No. 140673104 13D Page 7 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Ann Lurie Revocable Trust U/T/A 12/22/89 ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER - ------------------------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* 00 - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 8 - ------------------- ------------ CUSIP No. 140673104 13D Page 8 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON LFT Partnership, an Illinois general partnership 36-6527526 - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 486,760 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 3.1% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* PN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 9 - ------------------- ------------ CUSIP No. 140673104 13D Page 9 of 21 - ------------------- ------------ - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Ann and Robert H. Lurie Family Foundation 36-3486274 - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* 00 - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH 486,760 --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 486,760 - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 486,760 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 3.1% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* CO - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 10 - ------------------- ------------- CUSIP No. 140673104 13D Page 10 of 21 - ------------------- ------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Equity Capsure Limited Partnership, an Illinois limited partnership 36-4122677 - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Illinois - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH 3,552,862 --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 3,552,862 - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,552,862 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 22.4% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* PN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 11 - ------------------- ------------- CUSIP No. 140673104 13D Page 11 of 21 - ------------------- ------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Arlington Leasing Co. 88-0132727 - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [X] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - ------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Nevada - ------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES BENEFICIALLY OWNED BY --------------------------------------------------------------- EACH REPORTING 8 SHARED VOTING POWER PERSON WITH --------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 997,369 - ------------------------------------------------------------------------------- 12 CHECK BOX IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 6.3% - ------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* CO - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 12 ONLY THOSE ITEMS AMENDED ARE REPORTED HEREIN. CAPITALIZED TERMS NOT OTHERWISE DEFINED HEREIN SHALL HAVE THE SAME MEANING AS THEY HAVE IN THE INITIAL SCHEDULE 13D AND AMENDMENTS THERETO. Item 2. Identity and Background ----------------------- (a) - (c) This Item is being amended to add the Ann and Robert H. Lurie Family Foundation ("Lurie Foundation") as a Reporting Person. The Lurie Foundation is an Illinois non-stock not-for-profit corporation whose address is Two N. Riverside Plaza, Suite 600, Chicago, IL 60606. The directors of the Lurie Foundation are: Ann Lurie; Sheli Z. Rosenberg; Samuel Zell; Mark Slezak; and Andrew Lurie. The officers of the Lurie Foundation are: Mrs. Lurie, president and treasurer; Mrs. Rosenberg, vice president and secretary; Mr. Slezak and Mr. Lurie, vice presidents. Information concerning Mrs. Lurie, Mrs. Rosenberg and Mr. Zell was included in the original Schedule 13D. Mr. Slezak is a Vice President and Treasurer of Lurie Investments, Inc., an Illinois corporation, and Mr. Lurie is a student. Both are citizens of the United States of America with addresses of Two North Riverside Plaza, Chicago, IL 60606. (d) and (e) Neither Messrs. Lurie or Slezak have, during the last five years (i) been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors), or (ii) been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was, or is, subject to a judgment, decree or final order enjoining future violations of, or prohibiting activities subject to federal or state securities laws or finding any violation with respect to such laws. Item 3. Source and Amount of Funds or Other Consideration ------------------------------------------------- On May 23, 1997, Equity distributed 486,760 shares of Common Stock to one of its partners, the Lurie Trust. The Lurie Trust then distributed the 486,760 shares of Common Stock to its beneficiary, Mrs. Lurie. Mrs. Lurie then contributed the shares to the Lurie Foundation. No funds were expended by Mrs. Lurie or the Lurie Foundation for the contribution of the shares to the Lurie Foundation. Item 5. Interest in Securities of the Issuer ------------------------------------ (a) To the best knowledge of the Reporting Persons, there are 15,849,308 shares of Common Stock issued and outstanding as of the date hereof. As of the date hereof, the Reporting Persons may be deemed to own the number of shares of Common Stock opposite their name which represents the following percentages of the shares of Common Stock outstanding: Page 12 of 21 13
REPORTING PERSON NUMBER OF SHARES PERCENTAGE OF OUTSTANDING ----------------- ---------------- ------------------------- Samuel Zell 3,607,862(1) 22.7%(1) Zell Trust 3,552,862(1) 22.4%(1) Alphabet Partners 730,141(2) 4.6%(2) ZFT Partnership 730,141(2) 4.6%(2) Ann Lurie 486,760(2)(3) 3.1%(2)(3) LFT Partnership 486,760(2) 3.1%(2) Lurie Foundation 486,760 3.1% Equity 3,552,862 22.4% Arlington 997,369(2) 6.3%(2)
(1) Includes 3,552,862 shares owned by the Equity and, for Mr. Zell only, options to purchase 55,000 shares which are currently exercisable and beneficially owned by Mr. Zell. (2) Such shares are included in the 3,552,862 shares beneficially owned by Equity. (3) Includes shares reported herein by LFT Partnership. Arthur A. Greenberg is the sole trustee of the three trusts which are the general partners of Alphabet Partners. Mr. Greenberg beneficially owns 27,250 shares of Common Stock and options to purchase 1,250 shares of Common Stock which will become exercisable within 60 days. Additionally, a trust in which Mr. Greenberg is the beneficiary beneficially owns 2,000 shares of Common Stock. Mr. Greenberg disclaims beneficial ownership of the shares of Common Stock beneficially owned by such trust. Sheli Z. Rosenberg is the sole trustee of the fifteen trusts which are the general partners of ZFT Partnership. Mrs. Rosenberg beneficially owns 26,318 shares of Common Stock and options to purchase 20,000 shares of Common Stock which are currently exercisable. Additionally, the Rosenberg Family Foundation is the beneficial owner of 16,388 shares of Common Stock. Mrs. Rosenberg may be deemed to be the beneficial owner of the shares of Common Stock beneficially owned by the foundation but she disclaims beneficial ownership of such shares. (b) Equity, the Zell Trust, as sole general partner of Equity, and Mr. Zell, as the sole trustee of the Zell Trust, share the power to vote or to direct the vote of and share the power to dispose or to direct the disposition of the 3,552,862 shares beneficially owned by Equity. Mr. Zell and the Zell Trust disclaim beneficial ownership of the 3,552,862 shares beneficially owned by Equity, except for 2,068,733 shares attributable to the Zell Trust, Alphabet Partnership and ZFT Partnership through such entities' ownership in Equity. Page 13 of 21 14 Mr. Zell has the sole power to vote or to direct the vote of (assuming the exercise of the options to purchase 55,000 shares of Common Stock) and the sole power to dispose or to direct the disposition of the options to purchase 55,000 shares of Common Stock beneficially owned by him. Arthur A. Greenberg, as the sole trustee of the three trusts which are the general partners of Alphabet Partners, has no power to vote or to direct the vote and no power to dispose or to direct the disposition of the 3,552,862 shares beneficially owned by Equity or of the 730,141 shares attributable to Alphabet Partners through its ownership in Equity. Mr. Greenberg disclaims beneficial ownership of the shares owned by Alphabet Partners and Equity. Mr. Greenberg has the sole power to vote or to direct the vote and the sole power to dispose or to direct the disposition of the 27,250 shares and of the 1,250 shares (assuming the exercise of the options to purchase 1,250 shares) beneficially owned by him and no power to vote or to direct the vote and no power to dispose or to direct the disposition of the 2,000 shares beneficially owned by the trust in which Mr. Greenberg is the beneficiary. Sheli Z. Rosenberg, as sole trustee of the fifteen trusts which are the general partners of ZFT Partnership, has no power to vote or to direct the vote of and no power to dispose or to direct the disposition of the 3,552,862 shares beneficially owned by Equity or of the 730,141 shares attributable to ZFT Partnership through its ownership in Equity. Mrs. Rosenberg disclaims beneficial ownership of the shares owned by ZFT Partnership and Equity. Mrs. Rosenberg has the sole power to vote or to direct the vote and the sole power to dispose or to direct the disposition of the 26,318 shares and of the 20,000 shares (assuming the exercise of the options to purchase 20,000 shares) and shares the power to vote or to direct the vote and shares the power to dispose or to direct the disposition of the 16,388 shares beneficially owned by the Rosenberg Family Foundation. Ann Lurie, as the trustee of the six trusts which are the general partners of LFT Partnership, has no power to vote or to direct the vote of and no power to dispose or to direct the disposition of the 3,552,862 shares beneficially owned by Equity or of the 486,760 shares attributable to LFT Partnership through its ownership in Equity. Mrs. Lurie disclaims beneficial ownership of the shares beneficially owned by LFT Partnership. Andrew Lurie is the beneficiary of one of the six trusts which are partners of LFT Partnership. Mr. Lurie has no power to vote or to direct the vote and no power to dispose or to direct the disposition of the 3,552,862 shares beneficially owned by Equity or of the 486,760 shares attributable to LFT Partnership through its ownership in Equity. The Lurie Foundation, Ann Lurie, Sheli Z. Rosenberg, Samuel Zell, Mark Slezak and Andrew Lurie (as directors of the Lurie Foundation) share the power to vote and to direct the vote and share the power to dispose and to direct the disposition of the 486,760 shares beneficially owned by the Lurie Foundation. Messrs. Zell, Slezak and Lurie and Mmes Lurie and Rosenberg disclaim beneficial ownership of the 486,760 shares beneficially owned by the Lurie Foundation. (c) The only transactions in Common Stock by the Reporting Persons were the transactions previously described in Item 3. hereto. On May 7, 1997, Sheli Z. Rosenberg exercised options to purchase 20,000 shares of Common Stock at $.05 per share from her personal funds. On May 9, 1997, Mrs. Rosenberg contributed 16,388 shares of Common Stock to the Rosenberg Family Foundation. (d) and (e) Not applicable. Page 14 of 21 15 Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer --------------------------- On May 23, 1997, the Lurie Foundation agreed to be bound by the Voting Agreement among Equity, CCC, Bruce A. Esselborn and Rod F. Dammeyer wherein the Lurie Foundation agreed to vote all of its shares of Common Stock in favor of the merger of the surety business of CCC with and into the Issuer. The letter is attached hereto as Exhibit 6 and is incorporated herein by reference. Additionally, in order to secure the Lurie Foundation's obligation to vote its shares of Common Stock in favor of the above-described merger, the Lurie Foundation appointed CCC as its true and lawful proxy and attorney-in-fact and granted CCC an Irrevocable Proxy (the "Lurie Irrevocable Proxy") for such purposes. The Lurie Irrevocable Proxy is attached hereto as Exhibit 7 and is incorporated herein by reference. Item 7. Materials to Be Filed as Exhibits --------------------------------- Exhibit 6 - Letter from the Lurie Foundation to CCC dated May 23, 1997. Exhibit 7 - Irrevocable Proxy of the Lurie Foundation. Exhibit 8 - Second Amended and Restated Joint Filing Agreement dated as of May 23, 1997. Page 15 of 21 16 SIGNATURES After reasonable inquiry, and the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. /s/ Samuel Zell /s/ Ann Lurie - -------------------------------- --------------------------------- Samuel Zell Ann Lurie Samuel Zell Revocable Trust LFT Partnership U/T/A 01/17/90 By: Jesse Trust, a general partner By: /s/ Samuel Zell By: /s/ Ann Lurie --------------------------- ---------------------------- Samuel Zell, Trustee Ann Lurie, Trustee Alphabet Partners, an Illinois Ann and Robert H. Lurie Family Foundation general partnership By: SZA Trust, a general partner By: /s/ Arthur A. Greenberg By: /s/ Ann Lurie --------------------------- --------------------------- Arthur A. Greenberg, Trustee Ann Lurie, President ZFT Partnership, an Illinois Equity Capsure Limited Partnership, general partnership an Illinois limited partnership By: Samuel Zell Trust, By: Samuel Zell Revocable Trust a general partner U/T/A 1/17/90, general partner By: /s/ Sheli Z. Rosenberg By: /s/ Samuel Zell --------------------------- --------------------------- Sheli Z. Rosenberg, Trustee Samuel Zell, Trustee Arlington Leasing Co., a Nevada corporation By : /s/ Samuel Zell --------------------------- Samuel Zell, President DATED: May _____, 1997 Page 16 of 21 17 EXHIBIT INDEX
EXHIBIT NUMBER DESCRIPTION PAGE -------------- ----------- ---- 1 Amendment Number 7 to Schedule 13D for * Equity Holdings. 2 Joint Filing Agreement dated September * 24, 1996. 3 Voting Agreement among Equity, CCC, Bruce * A. Esselborn and Rod F. Dammeyer. 4 Irrevocable Proxy of Equity. * 5 Amended and Restated Joint Filing * Agreement dated December 19, 1996. 6 Letter from the Lurie Foundation to CCC 18 dated May 23, 1997. 7 Irrevocable Proxy of the Lurie Foundation. 19 8 Second Amended and Restated Joint Filing 20 Agreement dated May 23, 1997.
* previously filed. Page 17 of 21 EX-6 2 LETTER FROM THE LURIE FOUNDATION 1 Exhibit 6 THE ANN AND ROBERT H. LURIE FAMILY FOUNDATION May 23, 1997 Continental Casualty Company CNA Plaza Chicago, Illinois 60685 Ladies and Gentlemen: This letter is being issued in connection with that certain Voting Agreement, dated December 19, 1996 (the "Voting Agreement"), among Continental Casualty Company ("CCC"), Equity Capsure Limited Partnership ("Major Stockholder"), Bruce A. Esselborn, and Rod F. Dammeyer. Major Stockholder has transferred and distributed, on behalf of one of its limited partners, an aggregate of 486,760 shares of Capsure Holdings Corp. common stock to the Ann and Robert H. Lurie Family Foundation (the "Foundation"). In accordance with Section 1 of the Voting Agreement, the Foundation hereby agrees to be bound by the terms and conditions of the Voting Agreement as if it was a party to, and had executed, the Voting Agreement and hereby makes the representations and warranties set forth in Section 3 thereof. The Foundation further agrees to grant an irrevocable proxy to CCC in the form attached hereto as Exhibit A and is delivering such irrevocable proxy to CCC together with this letter. THE ANN AND ROBERT H. LURIE FAMILY FOUNDATION By: Mark Slezak ------------------------------- Its: Vice President AGREED AND ACCEPTED as of this 23rd day of May, 1997 CONTINENTAL CASUALTY COMPANY By: ----------------------------- Its: ----------------------------- Page 18 of 21 EX-7 3 IRREVOCABLE PROXY 1 Exhibit 7 IRREVOCABLE PROXY The undersigned agrees to, and hereby grants to Continental Casualty Company, an Illinois corporation ("CCC") an irrevocable proxy pursuant to the provisions of Section 212 of the Delaware General Corporation Law to vote all shares of common stock (the "Stock") of Capsure Holdings Corp., a Delaware corporation, (the "Company") owned by the undersigned only in connection with the matters and in accordance with Section 1 of the Voting Agreement (the "Voting Agreement") dated December 19, 1996, among CCC, Equity Capsure Limited Partnership, Bruce A. Esselborn and Rod F. Dammeyer. The undersigned hereby affirms that this proxy is coupled with an interest and is irrevocable. It is further understood by the undersigned that this proxy may be exercised by CCC for an amount of time equal to the term of the Voting Agreement set forth in Section 5 thereto. THIS PROXY SHALL REMAIN IN FULL FORCE AND EFFECT AND BE ENFORCEABLE AGAINST ANY DONEE, TRANSFEREE OR ASSIGNEE OF THE STOCK. Dated this 23rd day of May, 1997. THE ANN AND ROBERT H. LURIE FAMILY FOUNDATION ---------------------------- By: Mark Slezak ----------------------- Its: Vice President ----------------------- Page 19 of 21 EX-8 4 SECOND AMENDED AND RESTATED JOINT FILING AGREE. 1 Exhibit 8 SECOND AMENDED AND RESTATED JOINT FILING AGREEMENT AGREEMENT dated as of May 23, 1997 among Samuel Zell; Samuel Zell as Trustee of the Samuel Zell Revocable Trust under trust agreement dated January 17, 1990; Alphabet Partners, an Illinois general partnership; ZFT Partnership, an Illinois general partnership; Ann Lurie; Robert H. and Ann Lurie Family Foundation; LFT Partnership, an Illinois general partnership; Equity Capsure Limited Partnership, an Illinois limited partnership; and Arlington Leasing Co., a Nevada corporation (collectively the "Reporting Persons"). WHEREAS, the Reporting Persons beneficially own shares of Common Stock, par value $.05 per share, of Capsure Holdings Corp., a Delaware Corporation. WHEREAS, the parties hereto may be deemed to constitute a "group" for purposes of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended (the "Act"); and WHEREAS, each of the parties hereto desire by this Agreement to provide for the joint filing of a Schedule 13D, and all amendments thereto, with the Securities and Exchange Commission. NOW, THEREFORE, the parties hereto agree as follows: 1. The parties hereto will join in the preparation and filing of a single statement containing the information required by Schedule 13D, and all amendments thereto, and the Schedule 13D and all such amendments will be filed on behalf of each party hereto; 2. Each party hereto will be responsible for the timely filing of the Schedule 13D, and all amendments thereto, and for the completeness and accuracy of the information concerning such party contained therein. No party hereto will be responsible for the completeness or accuracy of the information concerning any other party contained in the Schedule 13D or any amendment thereto, except to the extent such party knows or has reason to believe that such information in inaccurate. 3. Susan Obuchowski will be designated as the person authorized to receive notices and communications with respect to the Schedule 13D and all amendments thereto. 4. This Agreement may be executed in counterparts, all of which when taken together will constitute one and the same instrument. Page 20 of 21 2 /s/ Samuel Zell /s/ Ann Lurie - -------------------------------- -------------------------------- Samuel Zell Ann Lurie Samuel Zell Revocable Trust LFT Partnership U/T/A 01/17/90 By: Jesse Trust, a general partner By: /s/ Samuel Zell By: /s/ Ann Lurie --------------------------- ---------------------------- Samuel Zell, Trustee Ann Lurie, Trustee Alphabet Partners, an Illinois Ann and Robert H. Lurie general partnership Famiy Foundation By: SZA Trust, a general partner By: /s/ Arthur A. Greenberg By: /s/ Ann Lurie --------------------------- ----------------------------- Arthur A. Greenberg, Trustee Ann Lurie, President ZFT Partnership, an Illinois Equity Capsure Limited Partnership, general partnership an Illinois limited partnership By: Samuel Zell Trust, a general partner By: Samuel Zell Revocable Trust U/T/A 1/17/90, general partner By: /s/ Sheli Z. Rosenberg By: /s/ Samuel Zell --------------------------- ----------------------------- Sheli Z. Rosenberg, Trustee Samuel Zell, Trustee Arlington Leasing Co., a Nevada corporation By : /s/ Samuel Zell -------------------------- Samuel Zell, President Page 21 of 21 -----END PRIVACY-ENHANCED MESSAGE-----