-----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, M9AUXh6EvddVeuq4pxPjCUPs+iskc6gKlTHoMspcCJCucUJqxaFuod9HuRWAbgL8 9uYKGRT537aDWB97InyoEQ== 0001209191-11-002958.txt : 20110112 0001209191-11-002958.hdr.sgml : 20110112 20110112163753 ACCESSION NUMBER: 0001209191-11-002958 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20101222 FILED AS OF DATE: 20110112 DATE AS OF CHANGE: 20110112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOUGLASS SAM P CENTRAL INDEX KEY: 0001181754 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00098 FILM NUMBER: 11525786 MAIL ADDRESS: STREET 1: 2929 ALLEN PARKWAY STREET 2: STE 2500 CITY: HOUSTON STATE: TX ZIP: 77019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglass Paula Terry CENTRAL INDEX KEY: 0001397357 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00098 FILM NUMBER: 11525788 MAIL ADDRESS: STREET 1: 2727 ALLEN PARKWAY, 13TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EQUUS TOTAL RETURN, INC. CENTRAL INDEX KEY: 0000878932 IRS NUMBER: 760345915 STATE OF INCORPORATION: DE FISCAL YEAR END: 0604 BUSINESS ADDRESS: STREET 1: EIGHT GREENWAY PLAZA STREET 2: SUITE 930 CITY: HOUSTON STATE: TX ZIP: 77046 BUSINESS PHONE: 7135290900 MAIL ADDRESS: STREET 1: EIGHT GREENWAY PLAZA STREET 2: SUITE 930 CITY: HOUSTON STATE: TX ZIP: 77046 FORMER COMPANY: FORMER CONFORMED NAME: EQUUS II INC DATE OF NAME CHANGE: 19970422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tiel Trust FBO Paula T. Douglass CENTRAL INDEX KEY: 0001510047 STATE OF INCORPORATION: TX FISCAL YEAR END: 1210 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00098 FILM NUMBER: 11525787 BUSINESS ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 BUSINESS PHONE: 713-824-7207 MAIL ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tiel Trust FBO Sam P. Douglass CENTRAL INDEX KEY: 0001510048 STATE OF INCORPORATION: TX FISCAL YEAR END: 1210 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00098 FILM NUMBER: 11525785 BUSINESS ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 BUSINESS PHONE: 713-824-7207 MAIL ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglass Trust IV - FBO S. Preston Douglass CENTRAL INDEX KEY: 0001510049 STATE OF INCORPORATION: TX FISCAL YEAR END: 1210 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00098 FILM NUMBER: 11525784 BUSINESS ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 BUSINESS PHONE: 713-824-7207 MAIL ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglass Trust IV - FBO Brooke Douglass CENTRAL INDEX KEY: 0001510050 STATE OF INCORPORATION: TX FISCAL YEAR END: 1210 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00098 FILM NUMBER: 11525783 BUSINESS ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 BUSINESS PHONE: 713-824-7207 MAIL ADDRESS: STREET 1: P.O. BOX 130197 CITY: HOUSTON STATE: TX ZIP: 77219 3 1 c10818_3x2.xml MAIN DOCUMENT DESCRIPTION X0203 3 2010-12-22 0 0000878932 EQUUS TOTAL RETURN, INC. EQS 0001397357 Douglass Paula Terry 3229 GROVELAND LANE HOUSTON TX 77019 0 0 1 0 0001510047 Tiel Trust FBO Paula T. Douglass P.O. BOX 130197 HOUSTON TX 77219 0 0 1 0 0001181754 DOUGLASS SAM P 3229 GROVELAND LANE HOUSTON TX 77019 0 0 1 0 0001510048 Tiel Trust FBO Sam P. Douglass P.O. BOX 130197 HOUSTON TX 77219 0 0 1 0 0001510049 Douglass Trust IV - FBO S. Preston Douglass P.O. BOX 130197 HOUSTON TX 77219 0 0 1 0 0001510050 Douglass Trust IV - FBO Brooke Douglass P.O. BOX 130197 HOUSTON TX 77219 0 0 1 0 Common Stock, par value $0.001 970969 D Refer to Exhibit A for additional information on ownership Refer to Exhibit B for additional Signatures of Reporting Persons. /s/ Paula T. Douglass, Paula T. Douglass, Individually 2011-01-10 EX-99.1 2 c10818_99x1.htm ADDITIONAL EXHIBITS

EXHIBIT A TO FORM 3

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES


1. Title of Security	2. Amount of Securities		3. Ownership Form:
Common Stock, par value $0.01	Beneficially Owned		Direct (D) or Indirect (ID)
1. Paula T. Douglass		970,969	D
2. Tiel Trust FBO Paula T. Douglass		53,986	D
3. Sam P. Douglass		970,969	D
4. Tiel Trust FBO Sam P. Douglass		52,257	D
5. Douglass Trust IV — FBO S. Preston Douglass		282,792	D
6. Douglass Trust IV — FBO Brooke Douglass		282,792	D

EX-99.2 3 c10818_99x2.htm ADDITIONAL EXHIBITS

EXHBIT B TO FORM 3

SIGNATURES OF ADDITIONAL REPORTING PERSONS


		/s/ Paula T. Douglass		1/10/11

		Paula T. Douglass, as Trustee of Tiel		Date
		Trust for the Benefit of Paula T. Douglass

		/s/ Sam P. Douglass		1/10/11

		Sam P. Douglass, Individually		Date

		/s/ Sam P. Douglass		1/10/11

		Sam P. Douglass, as Trustee of Tiel		Date
		Trust for the Benefit of Sam P. Douglass

		/s/ Sam P. Douglass		1/10/11

		Sam P. Douglass, as Trustee of		Date
		Douglass Trust IV for the Benefit of
		S. Preston Douglass, Jr.

		/s/ Sam P. Douglass		1/10/11

		Sam P. Douglass, as Trustee of		Date
		Douglass Trust IV for the Benefit of
		Brooke Douglass

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