4 1 g64607e4.txt CROWN GROUP, INC. / GERARD M. JACOBS 1 ------ FORM 4 ------ U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL Washington, DC 20549 OMB NUMBER: 3235-0287 Expires: September 30, 1998 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden [ ] Check box if no hours per response.....0.5 longer subject to Filed pursuant to Section 16(a) of the Securities Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the or Form 5 obligations Public Utility Holding Company Act of 1935 may continue. See or Section 30(f) of the Investment Company Instruction 1(b). Act of 1940 ------------------------------------------------------------------------------------------------------------------------------------ | 1. Name and Address of Reporting Person(1) | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person to| | Jacobs Gerard M. | Crown Group, Inc. (CNGR) | Issuer (Check all applicable) | |--------------------------------------------|----------------------------------------------| | | (Last) (First) (Middle) | 3. IRS Identification | 4. Statement For | [X] Director [ ] 10% Owner | | | Number of Reporting | Month/Year | [ ] Officer (give [ ] Other (Specify| | | Person (Voluntary) | | title below) | | | | | below) | | 7600 Augusta Street | | September 2000 | | |--------------------------------------------| |--------------------|--------------------------------------| | (Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing | | | | Date of Original| (Check Applicable Line) | | | | (Month/Year) | [X] Form Filed by One | | River Forest IL 60305 | | | Reporting Person | |--------------------------------------------|----------------------------------------------| [ ] Form Filed by More Than | | (City) (State) (Zip) | | One Reporting Person | | | | | |----------------------------------------------------------------------------------------------------------------------------------| | TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED | |----------------------------------------------------------------------------------------------------------------------------------| |1. Title of Security |2. Transaction |3. Transac- |4. Securities Acquired (A) | 5. Amount of Se- |6. Owner- |7. Nature | | (Instr. 3) | Date | tion Code | or Disposed of (D) | curities Benefi-| ship | of In- | | | (Month/Day/ | (Instr. 8)| | cially Owned at | Form: | direct | | | Year) | | | End of Month | Direct | Benefi- | | | | | (Instr. 3, 4 and 5) | (Instr. 3 and 4)| (D) or | cial | | | |-------------|----------------------------| | Indirect | Owner- | | | | Code | V | Amount | (A) or| Price | | (I) | ship | | | | | | | (D) | | | (Instr. 4)| (Instr. | | | | | | | | | | | 4)- | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | $.01 par value | | | | | | | | | | | Common Stock | 9/14/00 | S | | 2,000 | D |$5.0625| | | | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | 9/19/00 | S | | 10,000 | D | $5.00 | | | | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | 9/20/00 | S | | 20,000 | D | $5.00 | | | | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | 9/21/00 | S | | 6,000 | D | $5.00 | 281,480 | D | | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | | | | | | | 2,300 | I | Held by | | | | | | | | | | |Corporation| |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | | | | | | | | | | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | | | | | | | | | | |---------------------|------------------|-------|-----|------------|-------|-------|--------------------|-------------|-----------| | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Reprot on a separate line for each class of securities beneficially owned directly or indirectly. (Over) *If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7-96)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ |1. Title of Derivative | 2. Conver- |3. Trans- |4. Trans- |5. Number of | 6. Date Exer- |7. Title and Amount |8. Price | | Security | sion or | action | action | Derivative | cisable and | of Underlying | of | | (Instr. 3) | Exercise | Date | Code | Securities | Expiration | Securities | Deriv- | | | Price of | (Month/| (Instr.| Acquired (A) | Date | (Instr. 3 and 4) | ative | | | Deriv- | Day/ | 8) | or Disposed | (Month/Day/ | | Secur- | | | ative | Year) | | or (D) | Year) | | ity | | | Security | | | (Instr. 3, | | | (Instr. 5)| | | | | | 4, and 5) |-----------------|--------------------| | | | | | | | Date |Expira- | | Amount or| | | | | |----------|----------------| Exer- |tion | Title | Number of| | | | | | Code| V | (A) | (D) | cisable|Date | | Shares | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| |Right to Buy | $5.8125 | | | | | | | 7/1/09 | Common | | | | | | | | | | | | | Stock | 2,500 | N/A | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | $3.5625 | | | | | | | 7/1/08 | Common | 2,500 | N/A | | | | | | | | | | | Stock | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | $2.4375 | | | | | | | 7/9/07 | Common | 5,000 | N/A | | | | | | | | | | | Stock | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | $4.03125 | | | | | | | 2/28/05| Common | 2,500 | N/A | | | | | | | | | | | Stock | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | |-----------------------|--------------|----------|-----|----|-------|--------|--------|--------|--------|-----------|-------------| | | | | | | | | | | | | | ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------ | 9. Number of | 10. Ownership | 11. Nature of | | Derivative | Form of | Indirect | | Securities | Derivative | Beneficial | | Beneficially | Security: | Ownership | | Owned at End | Direct (D) | (Instr. 4) | | of Month | or Indirect (I) | | | (Instr. 4) | (Instr. 4) | | | | | | |---------------------|-------------------------------|----------------------| |2,500 | D | | |---------------------|-------------------------------|----------------------| |2,500 | D | | |---------------------|-------------------------------|----------------------| |5,000 | D | | |---------------------|-------------------------------|----------------------| |2,500 | D | | |---------------------|-------------------------------|----------------------| | | | | |---------------------|-------------------------------|----------------------| | | | | ------------------------------------------------------------------------------ Explanation of Responses: Gerard M. Jacobs ** Intentional misstatements or omissions of facts constitute Federal Criminal By: /S/ Helen T. Ferraro 10-10-2000 Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------------- ---------- Helen T. Ferraro Date Pursuant to a Power of Attorney Note. File three copies of this form, one of which must be manually signed. Page 2 If space provided is insufficient, see Instruction 6 for procedure. SEC 1474 (7-96)