-----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, OC2krRcc1HzwaIECgZjE5Ehz5eBWAVoPlk2a3Re9zm/8lJzio5XE6cmzS5Ojhcva LFZrx1RtA0yGKSmEm6SVSA== 0001116502-01-500501.txt : 20010521 0001116502-01-500501.hdr.sgml : 20010521 ACCESSION NUMBER: 0001116502-01-500501 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010518 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: 21ST CENTURY HOLDING CO CENTRAL INDEX KEY: 0001069996 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650248866 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-55363 FILM NUMBER: 1643640 BUSINESS ADDRESS: STREET 1: 4161 N W 5TH STREET CITY: PLANTATION STATE: FL ZIP: 33317 BUSINESS PHONE: 9545819993 MAIL ADDRESS: STREET 1: 4161 N W 5TH STREET CITY: PLANTATION STATE: FL ZIP: 33317 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RAYMOND RONALD A CENTRAL INDEX KEY: 0001140902 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: PO BOX 5437 CITY: FT LAUDERDALE STATE: FL ZIP: 33310 MAIL ADDRESS: STREET 1: PO BOX 5347 CITY: FT LAUDERDALE STATE: FL ZIP: 33310 SC 13G/A 1 raymond-sc13ga.txt AMENDED SCHEDULED 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (Amendment No. 1) Under the Securities Exchange Act of 1934 21st CENTURY HOLDING COMPANY - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 Par Value - -------------------------------------------------------------------------------- (Title of Class of Securities) 90136Q100 - -------------------------------------------------------------------------------- (CUSIP Number) CUSIP No. 90136Q100 1 NAMES OF REPORTING PERSONS Ronald A. Raymond ------------------------------------------ S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS ----------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] (b) [ ] 3 SEC USE ONLY ------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. -------------------------------- NUMBER OF 5 SOLE VOTING POWER 309,159 SHARES ---------------------- BENEFICIALLY 6 SHARED VOTING POWER 0 OWNED BY --------------------- EACH 7 SOLE DISPOSITIVE POWER 309,159 REPORTING --------------------- PERSON 8 SHARED DISPOSITIVE POWER 0 WITH: ----------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 309,159 -------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 9.77 (1) --------------------- 12 TYPE OF REPORTING PERSON (See Instructions) IN ------------------------- 1. Calculated on the basis of 3,165,201 shares of Common Stock outstanding on May 9, 2001. Item 1(a). Name of Issuer: 21st Century Holding Company Item 1(b). Address of Issuer's Principal Executive Offices: 4161 NW 5th Street Plantation, FL 33317 Item 2(a). Name of Person Filing: Ronald A. Raymond Item 2(b). Address of Principal Business Office or, if none, Residence: P.O. Box 6037 Fort Lauderdale, FL 33310 Item 2(c). Citizenship: See Item 4 on Cover Page U.S.A. Item 2(d). Title of Class of Securities: Common Stock, $.01 Par Value Item 2(e). CUSIP Number: 90136Q100 Item 3 If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: Not applicable. Item 4. Ownership: (a) Amount Beneficially Owned: 309,159 shares. -------------------------- (b) Percent of Class: 9.77% (1) ------------------------------------ 1. Calculated on the basis of 3,165,201 shares of Common Stock outstanding on May 9, 2001.
(c) Number of shares as to which such person has: (i) sole power to vote or to direct to vote 309,159 shares -------------------------- (ii) shared power to vote or to direct the vote 0 -------------------------- (iii) sole power to dispose or to direct the disposition of 309,159 shares -------------------------- (iv) shared power to dispose or to direct disposition of 0 --------------------------
Item 5. Ownership of Five Percent or Less of a Class: If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following |_| 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. 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: May 11, 2001 /s/ Ronald A. Raymond ---------------------- Ronald A. Raymond -----END PRIVACY-ENHANCED MESSAGE-----