-----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, Lov/FwoWJHRxLTYGYmjVmH7zr3WgX2JKVs8c1IQzHKj70pwCBMCFDcLMCvFpRJFs Gz6q+y7123Qqya2ZTIn0VQ== 0000950172-96-000552.txt : 19960912 0000950172-96-000552.hdr.sgml : 19960912 ACCESSION NUMBER: 0000950172-96-000552 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960911 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FINANCIAL SERVICES ACQUISITION CORP /DE/ CENTRAL INDEX KEY: 0000931707 STANDARD INDUSTRIAL CLASSIFICATION: LOAN BROKERS [6163] IRS NUMBER: 593262958 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25056 FILM NUMBER: 96628871 BUSINESS ADDRESS: STREET 1: 667 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10021 BUSINESS PHONE: 2122461000 MAIL ADDRESS: STREET 1: 667 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10021 COMPANY DATA: COMPANY CONFORMED NAME: BIRCH WILLIAM D CENTRAL INDEX KEY: 0001022583 STANDARD INDUSTRIAL CLASSIFICATION: [] OTHER FILING VALUES: FORM TYPE: 4/A BUSINESS ADDRESS: STREET 1: 100 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10028 BUSINESS PHONE: 2025913495 4/A 1 FORM 4 (x) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may contiue. See Instruction 1(b). U.S. SECURITIES AND EXCHANGE COMMISSION _____________________ WASHINGTON, D.C. 20549 | OMB APPROVAL | STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |_____________________| |OMB NUMBER: 3235-0287| |EXPIRES: | | SEPTEMBER 30, 1998 | Filed pursuant to Section 16(a) of the |ESTIMATED AVERAGE | Securities Exchange Act of 1934, |BURDEN HOURS | Section 17(a) of the Public Utility |PER RESPONSE 0.5 | Holding Company Act of 1935 |_____________________| or Section 30(f) of the Investment Company Act of 1940 ____________________________________________________________________________ 1. Name and Address of Reporting Person William D. Birch 1010 Fifth Avenue New York, New York 10028 ____________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Financial Services Acquisition Corporation (Common Stock: "FSAT"; Warrants: "FSATW") ____________________________________________________________________________ 3. IRS OR SOCIAL SECURITY NUMBER OF REPORTING PERSON (VOLUNTARY) ____________________________________________________________________________ 4. Statement for Month/Year August, 1996 ____________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) September 10, 1996 ____________________________________________________________________________ 6. Relationship of reporting person to Issuer (Check all applicable) ( ) DIRECTOR ( ) 10% OWNER ( ) OFFICER (GIVE TITLE BELOW) ( x ) OTHER (SPECIFY TITLE BELOW) Former Director* ____________________________________________________________________________ 7. Individual, or Joint/Group Filing (Check all applicable) ( x ) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person =========================================================================== TABLE I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ____________________________________________________________________________ 1. Title of Security (Instr. 3) Common Stock, $.001 par value ____________________________________________________________________________ 2. Transaction Date (Month/Day/Year) ____________________________________________________________________________ 3. Transaction Code (Instr. 8) ____________________________________________________________________________ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) ____________________________________________________________________________ 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) 109,000 ____________________________________________________________________________ 6. Ownership Form: Direct(D) or Indirect(I) (Instr. 4) (D) ____________________________________________________________________________ 7. Nature of Indirect Beneficial Ownership (Instr. 4) ____________________________________________________________________________ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. ============================================================================ TABLE II Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., Puts, Calls, Warrants, Options, Convertible securities) ____________________________________________________________________________ 1. Title of Derivative Security (Instr. 3) Redeemable Common Stock Purchase Warrants _________________________________________________________________________ 2. Conversion or Exercise Price of Derivative Security $5.00 _________________________________________________________________________ 3. Transaction Date (Month/Day/Year) ____________________________________________________________________________ 4. Transaction Code (Instr. 8) ____________________________________________________________________________ 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) ____________________________________________________________________________ 6. Date Exercisable and Expiration Date (Month/Day/Year) Each Warrant is currently exercisable Expiration Date 11/30/01 ____________________________________________________________________________ 7. Title and Amount of Underlying Securities (Instr. 3 and 4) ____________________________________________________________________________ 8. Price of Derivative Securities (Instr. 5) ____________________________________________________________________________ 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) 268,000 ____________________________________________________________________________ 10. Ownership Form of Derivative Security: Direct(D) or Indirect(I) (Instr. 4) (D) ____________________________________________________________________________ 11. Nature of Indirect Beneficial Ownership (Instr. 4) ____________________________________________________________________________ EXPLANATION OF RESPONSES: * The Reporting Person resigned as a director of the Issuer, effective as of August 16, 1996 /s/ William D. Birch 9/11/96 ** 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). -----END PRIVACY-ENHANCED MESSAGE-----