-----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, CjC3hZv1FqKpvWvkziImoirjv9vOnODj/kwDO7cMXrPE9K5INRbqC0LB5su6e9V/ uYDy2xaXAr+26rlai9DJDA== 0000912057-01-004455.txt : 20010212 0000912057-01-004455.hdr.sgml : 20010212 ACCESSION NUMBER: 0000912057-01-004455 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CORE INC CENTRAL INDEX KEY: 0000880238 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 042828817 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-41958 FILM NUMBER: 1530806 BUSINESS ADDRESS: STREET 1: 18881 VON KARMAN AVE STREET 2: STE 1750 CITY: IRVINE STATE: CA ZIP: 92612 BUSINESS PHONE: 6173226400 MAIL ADDRESS: STREET 1: 18881 VON KARMAN AVE STREET 2: SUITE 1750 CITY: IRVINE STATE: CA ZIP: 92612 FORMER COMPANY: FORMER CONFORMED NAME: PEER REVIEW ANALYSIS INC DATE OF NAME CHANGE: 19930328 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CARPENTER GEORGE IV CENTRAL INDEX KEY: 0001007818 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 18881 VAN KARMAN AVE STE 1750 CITY: IRVINE STATE: CA ZIP: 92715 BUSINESS PHONE: 7144422100 MAIL ADDRESS: STREET 1: 18881 VON KARMAN AVE STREET 2: STE 1750 CITY: IRVINE STATE: CA ZIP: 92715 SC 13G/A 1 a2037678zsc13ga.txt SCHEDULE 13G/A SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (RULE 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS PURSUANT TO RULES 13d-1(b)(c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (AMENDMENT NO. 5)(1) CORE, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, PAR VALUE $0.10 PER SHARE - -------------------------------------------------------------------------------- (Title of Class of Securities) 21867P 10 2 ------------------------------------------------ (CUSIP Number) Check the appropriate box to designate the rule pursuant to which this Schedule is filed. / / Rule 13d - 1(b) / / Rule 13d - 1(c) /X/ Rule 13d - 1(d) - ------------------- (1)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 the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be determined to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 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). - ----------------------------------------- CUSIP NO. 21867P 10 2 13G ---------------- - ----------------------------------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) George C. Carpenter IV - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF SHARES 114,000 shares purchasable under BENEFICIALLY OWNED options (vested) BY REPORTING 56,000 shares purchasable under PERSON WITH ------- options (unvested) Total 170,000 shares ------------------------------------------------------ 6 SHARED VOTING POWER 318,556 shares owned as joint tenant with spouse ------------------------------------------------------ 7 SOLE DISPOSITIVE POWER 114,000 shares purchasable under options (vested) 56,000 shares purchasable under options (unvested) ------- Total 170,000 shares ------------------------------------------------------ 8 SHARED DISPOSITIVE POWER 318,556 shares owned as joint tenant with spouse - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 488,556 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.3% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 5 SCHEDULE 13G Item 1 (a). Name of Issuer: - --------------------------- CORE, INC. Item 1(b). Address of Issuer's Principal Executive Offices: - ----------------------------------------------------------- 18881 Von Karman Avenue, Suite 1750 Irvine, CA 92612 Item 2 (a). Name of Person Filing: - ---------------------------------- George C. Carpenter IV Item 2 (b). Address of Principal Business Office Or, if none, Residence: - ------------------------------------------------------------------------ 18881 Von Karman Avenue, Suite 1750 Irvine, CA 92612 Item 2 (c). Citizenship: - ------------------------ U.S.A. Item 2 (d). Title of Class of Securities: - ----------------------------------------- Common Stock Item 2 (e). CUSIP Number: - ------------------------- 21867P 10 2 Item 3. - ------ Not applicable. Item 4. Ownership (a) Amount Beneficially Owned: 488,556 shares, including 318,556 shares owned as joint tenant with spouse 114,000 shares purchasable under options (vested) 56,000 shares purchasable under options (unvested) Page 3 of 5 (b) Percent of Class: 5.3% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 170,000 shares, including 114,000 shares purchasable under options (vested) 56,000 shares purchasable under options (unvested) (ii) shared power to vote or to direct the vote: 318,556 shares owned as joint tenant with spouse (iii) sole power to dispose or to direct the disposition of: 170,000 shares, including 114,000 shares purchasable under options (vested) 56,000 shares purchasable under options (unvested) (iv) shared power to dispose or to direct the disposition of: 318,556 shares owned as joint tenant with spouse 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 - ---------------------- Not Applicable. Note: All information in this Schedule 13G is as of the close of ---- business on December 31, 2000. Page 4 of 5 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. February 5, 2001 ----------------------------------- (Date) /s/ George C. Carpenter IV ----------------------------------- (Signature) George C. Carpenter IV --------------------------------- (Name) Page 5 of 5 -----END PRIVACY-ENHANCED MESSAGE-----