3 1 form3birop_kip.txt INIT. STMT OF BENEFICIAL OWNERSHIP OF SECURITIES ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0104 Expires: January 31, 2005 Estimated average burden hours per response........0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 (Print or Type Responses) ________________________________________________________________________________ 1. Name and Address of Reporting Person* Berkshire Income Realty-OP, L.P. -------------------------------------------------------------------------------- (Last) (First) (Middle) One Beacon Street, Suite 1500 -------------------------------------------------------------------------------- (Street) Boston MA 02108 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Date of Event Requiring Statement (Month/Day/Year) 4/4/2003 ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ________________________________________________________________________________ 4. Issuer Name and Ticker or Trading Symbol Krupp Insured Plus Limited Partnership ________________________________________________________________________________ 5. Relationship of Reporting Person to Issuer (Check all applicable) [_] Director [X] 10% Owner [_] Officer (give title below) [_] Other (specify below) ________________________________________________________________________________ 6. If Amendment, Date of Original (Month/Day/Year) ________________________________________________________________________________ 7. Individual or Joint/Group Filing (Check applicable line) [_] Form Filed by One Reporting Person [X] Form Filed by More than One Reporting Person ================================================================================ TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED ================================================================================
3. Ownership Form: 2. Amount of Securities Direct (D) or 1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ Depositary Receipts 2,225,157 D N/A ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one Reporting Person, see Instruction 5(b)(v). PERSONS WHO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. (Over) SEC 1473 (7-02) Page 1 of 5 FORM 3 (continued) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ================================================================================
5. Owner- 3. Title and Amount of Securities ship Underlying Derivative Security Form of 2. Date Exercisable (Instr. 4) Derivative and Expiration Date --------------------------------- 4. Conver- Security: (Month/Day/Year) Amount sion or Direct 6. Nature of ---------------------- or Exercise (D) or Indirect Date Expira- Number Price of Indirect Beneficial 1. Title of Derivative Exer- tion of Derivative (I) Ownership Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: See pages 4-5 attached. BERKSHIRE INCOME REALTY-OP, L.P. By: BIR GP, L.L.C., its general partner By: Berkshire Income Realty, Inc., its sole member /s/ David C. Quade April 14, 2003 --------------------------------------------- ----------------------- **Signature of Reporting Person Date Name: David C. Quade Title: President ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. Page 2 of 5 -------------------------------------------------------------------------------- CONTINUATION SHEET TO FORM 3 -------------------------------------------------------------------------------- Name and Address of Reporting Person: Berkshire Income Realty-OP, L.P. One Beacon Street, Suite 1500 Boston, MA 02108 Issuer Name and Ticker or Trading Symbol: Krupp Insured Plus Limited Partnership Date of Event Requiring Statement: April 4, 2003 -------------------------------------------------------------------------------- OTHER REPORTING PERSONS: SIGNATURES OF REPORTING PERSONS: ----------------------- ------------------------------- Berkshire Income Realty, Inc. (1) BERKSHIRE INCOME REALTY, INC. One Beacon Street, Suite 1500 Boston, MA 02108 By: /s/ David C. Quade ------------------------------- Name: David C. Quade Title: President BIR GP, L.L.C. (2) BIR GP, L.L.C. One Beacon Street, Suite 1500 Boston, MA 02108 By: Berkshire Income Realty, Inc., its sole member By: /s/ David C. Quade ------------------------------- Name: David C. Quade Title: President KRF Company, L.L.C. (3) KRF COMPANY, L.L.C. One Beacon Street, Suite 1500 Boston, MA 02108 By: The Krupp Family Limited Partnership - 94, its sole member By: /s/ Douglas Krupp ------------------------------- Name: Douglas Krupp Title: General Partner By: /s/ George D. Krupp ------------------------------- Name: George D. Krupp Title: General Partner The Krupp Family Limited THE KRUPP FAMILY LIMITED Partnership - 94 (4) PARTNERSHIP - 94 One Beacon Street, Suite 1500 Boston, MA 02108 By: /s/ Douglas Krupp ------------------------------- Name: Douglas Krupp Title: General Partner By: /s/ George D. Krupp ------------------------------- Name: George D. Krupp Title: General Partner Page 3 of 5 -------------------------------------------------------------------------------- CONTINUATION SHEET TO FORM 3 -------------------------------------------------------------------------------- Name and Address of Reporting Person: Berkshire Income Realty-OP, L.P. One Beacon Street, Suite 1500 Boston, MA 02108 Issuer Name and Ticker or Trading Symbol: Krupp Insured Plus Limited Partnership Date of Event Requiring Statement: April 4, 2003 -------------------------------------------------------------------------------- The George Krupp 1980 Family Trust (5) THE GEORGE KRUPP 1980 FAMILY TRUST One Beacon Street, Suite 1500 Boston, MA 02108 By: /s/ Lawrence I. Silverstein -------------------------------- Name: Lawrence I. Silverstein Title: Trustee The Douglas Krupp 1980 Family Trust (5) THE DOUGLAS KRUPP 1980 FAMILY TRUST One Beacon Street, Suite 1500 Boston, MA 02108 By: /s/ Lawrence I. Silverstein -------------------------------- Name: Lawrence I. Silverstein Title: Trustee George D. Krupp (6) c/o Berkshire Income Realty, Inc. /s/ George D. Krupp One Beacon Street, Suite 1500 ----------------------------------- Boston, MA 02108 GEORGE D. KRUPP Douglas Krupp (6) c/o Berkshire Income Realty, Inc. /s/ Douglas Krupp One Beacon Street, Suite 1500 ----------------------------------- Boston, MA 02108 DOUGLAS KRUPP Explanation of Responses: (1) In connection with the April 4, 2003 closing of Berkshire Income Realty's ("BIR") offer to exchange shares of its 9% Series A Cumulative Redeemable Preferred Stock, liquidation value $25 per share ("Preferred Stock"), for units of depositary receipts representing units of limited partner interests ("Interests") of Krupp Insured Plus Limited Partnership ("KIP"), BIR acquired approximately 2,225,157 Interests of KIP. On April 4, 2003, BIR contributed such Interests to Berkshire Income Realty-OP, L.P. ("BIR-OP") in exchange for 100% of the preferred limited partnership interests in BIR-OP. BIR also owns 100% of the limited liability company interests of BIR GP, L.L.C., the general partner of BIR-OP. By virtue of such interests, BIR may be deemed to beneficially own indirectly the Interests of KIP owned by BIR-OP. (2) BIR GP, L.L.C. owns 100% of the general partnership interests in BIR-OP, and by virtue of such interest, BIR GP, L.L.C. may be deemed to beneficially own indirectly the Interests of KIP owned by BIR-OP. (3) KRF Company, L.L.C. owns 100% of the common limited partnership interests in BIR-OP and 100% of the common stock of BIR, and by virtue of such interests, KRF Company, L.L.C. may be deemed to beneficially own indirectly the Interests of KIP owned by BIR-OP. Page 4 of 5 -------------------------------------------------------------------------------- CONTINUATION SHEET TO FORM 3 -------------------------------------------------------------------------------- Name and Address of Reporting Person: Berkshire Income Realty-OP, L.P. One Beacon Street, Suite 1500 Boston, MA 02108 Issuer Name and Ticker or Trading Symbol: Krupp Insured Plus Limited Partnership Date of Event Requiring Statement: April 4, 2003 -------------------------------------------------------------------------------- (4) The Krupp Family Limited Partnership - 94 owns 100% of the limited liability company interests in KRF Company, L.L.C., and by virtue of such interest, The Krupp Family Limited Partnership - 94 may be deemed to beneficially own indirectly the Interests of KIP owned by BIR-OP. (5) Each of The Douglas Krupp 1980 Family Trust and The George Krupp 1980 Family Trust owns 50% of the limited partnership interests in The Krupp Family Limited Partnership - 94, and by virtue of such interests, The Douglas Krupp 1980 Family Trust and The George Krupp 1980 Family Trust each may be deemed to beneficially own indirectly the Interests of KIP owned by BIR-OP. The trustees of The Douglas Krupp 1980 Family Trust are Paul Krupp, Lawrence Silverstein and Vincent O'Reilly, and the trustees of The George Krupp 1980 Family Trust are Paul Krupp and Lawrence Silverstein. Each of the trustees of The Douglas Krupp 1980 Family Trust and The George Krupp 1980 Family Trust disclaims beneficial ownership of any such Interests of KIP that are or may be deemed to be beneficially owned by Douglas Krupp, George D. Krupp, The Douglas Krupp 1980 Family Trust or The George Krupp 1980 Family Trust. (6) The general partners of The Krupp Family Limited Partnership - 94 are George D. Krupp and Douglas Krupp, each of whom owns 50% of the general partner interests in The Krupp Family Limited Partnership - 94, and by virtue of such interests, George D. Krupp and Douglas Krupp each may be deemed to beneficially own indirectly the Interests of KIP owned by BIR-OP. Page 5 of 5