-----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, EGaF5odXvcufKeGvoiER8nijt4dlQzMbGVhjYahK8Bhmm/wJL9eorenUd5HXuHEm 2PDlhTV0Z9kcGwNPTaD9qA== 0000950127-00-000280.txt : 20000523 0000950127-00-000280.hdr.sgml : 20000523 ACCESSION NUMBER: 0000950127-00-000280 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000522 FILED AS OF DATE: 20000522 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COMPUTER OUTSOURCING SERVICES INC CENTRAL INDEX KEY: 0000893816 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 133252333 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-20824 FILM NUMBER: 641226 BUSINESS ADDRESS: STREET 1: 2 CHRISTIE HEIGHTS STREET CITY: LEONIA STATE: NJ ZIP: 07605 BUSINESS PHONE: 2018404700 MAIL ADDRESS: STREET 1: 2 CHRISTIE HEIGHTS STREET CITY: LEONIA STATE: NJ ZIP: 07605 COMPANY DATA: COMPANY CONFORMED NAME: SCHIFF FRANK L CENTRAL INDEX KEY: 0001115031 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 130 LIBERTY STREET 25TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10006 BUSINESS PHONE: 2122508199 MAIL ADDRESS: STREET 1: 130 LIBERTY STREET 25TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10006 3 1 INITIAL STATE/BENEFICIAL OWNERSHIP OF SECURITIES ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response ....... 0.5 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 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(f) of the Investment Company Act of 1940 ================================================================================ 1. Name and Address of Reporting Person* Schiff, Frank, L. - -------------------------------------------------------------------------------- (Last, First Middle) 130 Liberty Street, 25th Floor - -------------------------------------------------------------------------------- (Street) New York, New York 10006 - -------------------------------------------------------------------------------- (City, State Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) May 10, 2000 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker or Trading Symbol Computer Outsourcing Services, Inc. (COSI) ================================================================================ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ X ] 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) [ X ] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person * If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v) ================================================================================ 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) - ------------------------------------------------------------------------------------------------------------------------------------ (1) - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. ================================================================================ Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) --------------------------------------------------------------------------------
3. Title and Amount of Securities Underlying Derivative Security 2. Date Exercisable (Instr. 4) and Expiration Date --------------------------------- (Month/Day/Year) Amount ---------------------- or Date Expira- Number 1. Title of Derivative Exer- tion of Security (Instr. 4) cisable Date Title Shares - ------------------------- ----------------------------------------------------------------------- (1) Series A Convertible Immed. May 10, 2007 Common Stock 786,885 Preferred Stock - ---------------------------------------------------------------------------------------------------------- (2) Common Stock Purchase Immed. May 10, 2007 Common Stock 1,265,963.2 Warrants - ---------------------------------------------------------------------------------------------------------- (3) Option to Buy Common Immed. May 10, 2007 Common Stock 375,000 Stock - ---------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Table II (cont.) -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) -------------------------------------------------------------------------------- 5. Owner- ship Form of Derivative 4. Conver- Security: sion or Direct 6. Nature of Exercise (D) or Indirect Price of Indirect Beneficial 1. Title of Derivative Derivative (I) Ownership Security (Instr. 4) Security (Instr.5) (Instr. 5) - -------------------------------------------------------------------------------------------------------- (1) Series A Convertible $38.125 I Mr. Schiff is a Preferred Stock Managing Director of DB Capital Partners, Inc. which is the General Partner of DB Capital Partners, L.P. which is the General Partner of DB Capital Investors, L.P. which directly beneficially owns the Series A Convertible Preferred Stock. Mr. Schiff disclaims beneficial ownership of these securities. - -------------------------------------------------------------------------------------------------------- (2) Common Stock Purchase $ 0.01 I Mr. Schiff is a Warrants Managing Director of DB Capital Partners, Inc. which is the General Partner of DB Capital Partners, L.P. which is the General Partner of DB Capital Investors, L.P. which directly beneficially owns the Common Stock Purchase Warrants. Mr. Schiff disclaims beneficial ownership of these securities. - -------------------------------------------------------------------------------------------------------- (3) Option to Buy Common $25.00 I Mr. Schiff is a Stock Managing Director of DB Capital Partners, Inc. which is the General Partner of DB Capital Partners, L.P. which is the General Partner of DB Capital Investors, L.P. which directly beneficially owns the Option to Buy Common Stock. Mr. Schiff disclaims beneficial ownership of these securities. - -------------------------------------------------------------------------------------------------------- ========================================================================================================
Explanation of Responses: /s/ Frank L. Schiff 5/22/00 --------------------------------------------- ----------------------- Frank L. Schiff **Signature of Reporting Person Date ** 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 is insufficient. See Instruction 6 for procedure. Alternatively, this form is permitted to be submitted to the Commission in electronic format at the option of the reporting person pursuant to Rule 101(b)(4) of Regulation S-T. 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 number. SEC 1473 (7-96) -----END PRIVACY-ENHANCED MESSAGE-----