-----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, F5TQWVpH+ZONKNAd+eUlVdI7kppEy0r7Ln1F19uLBtZ/mX3Dc1RAYEUNit8vTyJo SoRgMwUDUre/4uuGbEEAww== 0001193125-05-023253.txt : 20050209 0001193125-05-023253.hdr.sgml : 20050209 20050209133937 ACCESSION NUMBER: 0001193125-05-023253 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050209 DATE AS OF CHANGE: 20050209 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MURSTEIN ANDREW CENTRAL INDEX KEY: 0001033265 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O MEDALLION FUNDING CORP STREET 2: 205 EAST 42ND STREET, SUITE 2020 CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2126823300 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDALLION FINANCIAL CORP CENTRAL INDEX KEY: 0001000209 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 043291176 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-48473 FILM NUMBER: 05587832 BUSINESS ADDRESS: STREET 1: 437 MADISON AVE 38 TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2123282153 MAIL ADDRESS: STREET 1: 437 MADISON AVENUE STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 SC 13G/A 1 dsc13ga.htm AMENDMENT NO. 4 TO SCHEDULE 13G Amendment No. 4 to Schedule 13G

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G/A

 

 

Under The Securities Exchange Act Of 1934

Amendment No. 4

 

 

 

MEDALLION FINANCIAL CORP.


(Name of Issuer)

 

Common Stock, $.01 Par Value


(Title of Class of Securities)

 

 

583928 10 6


                                (CUSIP Number)                                 

 

December 31, 2004


(Date of Event which Required Filing of the Statement)

 

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)

 

 


SCHEDULE 13G/A

 

CUSIP No. 583928 10 6

 

  1.  

Names of Reporting Persons.

I.R.S. Identification Nos. of above persons (entities only).

 

            Andrew M. Murstein

   
  2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  ¨

(b)  ¨

   
  3.  

SEC Use Only

 

   
  4.  

Citizenship or Place of Organization

 

             United States of America

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    Sole Voting Power

 

1,529,9991 (including 274,999 shares which may be acquired upon the exercise of stock purchase options)


  6.    Shared Voting Power

 

                -0-


  7.    Sole Dispositive Power

 

1,529,9991 (including 274,999 shares which may be acquired upon the exercise of stock purchase options)


  8.    Shared Dispositive Power

 

                -0-

  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

1,529,999 1 (including 274,999 shares which may be acquired upon the exercise of stock purchase options)

   
10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares*

 

 

¨

 

11.  

Percent of Class Represented by Amount in Row (9)

 

8.72% (based upon number of shares outstanding as reported in the Company’s 10-Q, filed for the quarterly period ended September 30, 2003)

   
12.  

Type of Reporting Person*

 

            IN

   

 

1   1,250,000 shares are held in the Andrew Murstein Family Trust.

 

2


SCHEDULE 13G/A

 

CUSIP NO. 583928 10 6

 

ITEM 1

 

(A).

   NAME OF ISSUER:          
         Medallion Financial Corp.          

ITEM 1

 

(B).

   ADDRESS OF ISSUERS PRINCIPAL EXECUTIVE OFFICES:          
        

437 Madison Avenue, 38 th Floor

New York, NY 10022

         

ITEM 2

 

(A).

   NAME OF PERSON FILING:          
         Andrew Murstein          

ITEM 2

 

(B).

   ADDRESS OF PRINCIPAL OFFICES OR, IF NONE, RESIDENCE:          
        

Medallion Financial Corp.

437 Madison Avenue, 38 th Floor

New York, NY 10022

         

ITEM 2

 

(C).

   CITIZENSHIP:          
         United States of America          

ITEM 2

 

(D).

   TITLE OF CLASS OF SECURITIES:          
         Common Stock, $.01 par value          

ITEM 2

 

(E).

   CUSIP NUMBER:          
         583928 10 6          

ITEM 3.

  IF THE STATEMENT IS BEING FILED PURSUANT TO RULE 13D-1(B), OR 13D-2(B), CHECK WHETHER THE FILING PERSON IS A:
    Not Applicable
    (a)    ¨    Broker or dealer registered under Section 15 of the Act,
    (b)    ¨    Bank as defined in Section 3(a)(6) of the Act,
    (c)    ¨    Insurance Company as defined in Section 3(a)(19) of the Act,
    (d)    ¨    Investment Company registered under Section 8 of the Investment Company Act,
    (e)    ¨    Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940,
    (f)    ¨    Employee Benefit Plan, Pension Fund which is subject to the Provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see 13d-1(b)(1)(ii)(F),
    (g)    ¨    Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G); see Item 7,
    (h)    ¨    Group, in accordance with Rule 13d-1(b)(1)(ii)(H).

 

3


SCHEDULE 13G/A

 

CUSIP NO. 583928 10 6

 

ITEM 4.

   OWNERSHIP:          
     (a)   

Amount beneficially owned:

 

1,529,999 shares 2 (including 274,999 shares, which may be acquired upon the exercise of stock purchase options)

         
     (b)    Percent of class:          
          8.72% (based upon number of shares outstanding as reported in the Company’s 10-Q, filed for the quarterly period ended September 30, 2003)          
     (c)    Number of shares as to which such person has:          
          (i)   

Sole power to vote or direct the vote:

 

1,529,999 shares 2 (including 274,999 shares which may be acquired upon the exercise of stock purchase options)

         
          (ii)   

Shared power to vote or direct the vote:

 

-0-

         
          (iii)   

Sole power to dispose or to direct the disposition of:

 

1,529,999 shares 2 (including 274,999 shares which may be acquired upon the exercise of stock purchase options)

         
          (iv)   

Shared power to dispose or to direct the disposition of:

 

-0-

         

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.          
     By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.          

 

2   See footnote 1, above.

 

4


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.

 

Dated: February 8, 2005

 

/s/ Andrew M. Murstein


Name:   Andrew M. Murstein
Title:  

President and Director of

Medallion Financial Corp.

   

Individually and as Trustee under the

Andrew Murstein Family Trust

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