-----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, KNR6ewCq/WZc3oygPSf7PXSvpmY/1F7i9wCG2pIbU7lurcfoO7+MjSKF7+veQ0Ws l5TLN19QqtlS+DxJ6VOsxg== 0000950135-00-000743.txt : 20000215 0000950135-00-000743.hdr.sgml : 20000215 ACCESSION NUMBER: 0000950135-00-000743 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: STUDENT ADVANTAGE INC CENTRAL INDEX KEY: 0001073508 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP ORGANIZATIONS [8600] IRS NUMBER: 043263743 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-58075 FILM NUMBER: 538672 BUSINESS ADDRESS: STREET 1: 280 SUMMER STREET CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 6179122011 MAIL ADDRESS: STREET 1: 280 SUMMER STREET CITY: BOSTON STATE: MA ZIP: 02210 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SIEGEL DANIEL G CENTRAL INDEX KEY: 0001105782 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 280 SUMMER ST CITY: BOSTON STATE: MA ZIP: 02210 MAIL ADDRESS: STREET 1: 280 SUMMER ST CITY: BOSTON STATE: MA ZIP: 02210 SC 13G 1 SIEGEL DANIEL G 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 --------------------- SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b) (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. ________)* Student Advantage, Inc. ------------------------------------------------------- (Name of Issuer) Common Stock, par value $.01 ------------------------------------------------------- (Title of Class of Securities) 86386Q 10 5 ------------------------------------------------------- (CUSIP Number) ------------------------------------------------------- (Date of Event Which Requires Filing of this 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) * 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 of 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 deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") 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). 2 CUSIP No. 86386Q 10 5 13G Page 2 of 6 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Daniel G. Siegel - -------------------------------------------------------------------------------- 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. - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER 2,005,912 NUMBER OF ------------------------------------------------------------ SHARES BENEFICIALLY 6. SHARED VOTING POWER 0 OWNED BY EACH ------------------------------------------------------------ REPORTING PERSON WITH 7. SOLE DISPOSITIVE POWER 2,005,912 ------------------------------------------------------------ 8. SHARED DISPOSITIVE POWER 0 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICALLY OWNED BY EACH REPORTING PERSON 2,005,912 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.66% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 CUSIP No. 86386Q 10 5 13G Page 3 of 6 Pages Item 1(a). Name of Issuer: Student Advantage, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 280 Summer Street Boston, MA 02210 Item 2(a). Name of Person Filing: Daniel G. Siegel Item 2(b). Address of Principal Business Office or, if None, Residence: Student Advantage, Inc. 280 Summer Street Boston, MA 02210 Item 2(c). Citizenship: U.S.A. Item 2(d). Title of Class of Securities: Common Stock, $.01 par value per share Item 2(e). CUSIP Number: 86386Q 10 5 Item 3. If this Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: (a) [ ] Broker or dealer registered under Section 15 of the Exchange Act. (b) [ ] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [ ] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [ ] Investment company as defined in Section 8 of the Investment Company Act. (e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E). (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F). (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G). 4 CUSIP No. 86386Q 10 5 13G Page 4 of 6 Pages (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act. (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act. (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). N/A Item 4. Ownership: Provide the following information regarding the aggregate number and percentage of the amount and class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 2,005,912 (b) Percent of class: 5.66% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 2,005,912 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 2,005,912 (iv) Shared power to dispose or to direct the 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 a class of securities, check the following [ ]. N/A Item 6. Ownership of More than Five Percent on Behalf of Another Person: N/A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company: N/A 5 CUSIP No. 86386Q 10 5 13G Page 5 of 6 Pages Item 8. Identification of Members of the Group: N/A Item 9. Notice of Dissolution of a Group: N/A Item 10 Certification: N/A 6 CUSIP No. 86386Q 10 5 13G Page 6 of 6 Pages 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 11, 2000 /s/ Daniel G. Siegel -------------------------------- Daniel G. Siegel -----END PRIVACY-ENHANCED MESSAGE-----