0000950159-05-000196.txt : 20120703
0000950159-05-000196.hdr.sgml : 20120703
20050218130852
ACCESSION NUMBER: 0000950159-05-000196
CONFORMED SUBMISSION TYPE: SC 13G/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050218
DATE AS OF CHANGE: 20050218
GROUP MEMBERS: ERIC D. JACOBS
GROUP MEMBERS: MILLER & JACOBS CAPITAL, LLC
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: CAROLINA BANK HOLDINGS INC
CENTRAL INDEX KEY: 0001127160
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 562215437
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-79417
FILM NUMBER: 05626561
BUSINESS ADDRESS:
STREET 1: PO BOX 10209
CITY: GREENSBORO
STATE: NC
ZIP: 27404-0209
BUSINESS PHONE: 3362881898
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: MILLER JEFFREY A
CENTRAL INDEX KEY: 0001032442
FILING VALUES:
FORM TYPE: SC 13G/A
BUSINESS ADDRESS:
BUSINESS PHONE: 3407731300
MAIL ADDRESS:
STREET 1: P O BOX 26039
STREET 2: GALLOWS BAY STATION
CITY: CHRISTIANSTED
STATE: VI
ZIP: 00824
SC 13G/A
1
carolina13ga.txt
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 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 13d-2(b)
(Amendment No. 1)1
Carolina Bank Holdings, Inc.
(Name of Issuer)
Common Stock, $1.00 par value per share
-------------------------------------------------------------------------------
(Title of Class of Securities)
143785103 (CUSIP NUMBER)
-------------------------------------------------------------------------------
December 31, 2004
(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)
/X/ Rule 13d-1(c)
/ / Rule 13d-1(d)
--------------
1 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 class of
securities, and for any subsequent amendment containing information which
would alter disclosures provided in a prior cover page.
The information required on 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 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).
-----------------------------------------------------------------------------------------------------------------
NAME OF REPORTING PERSONS: Jeffrey A. Miller
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
-----------------------------------------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) 0
(b) |X|
-----------------------------------------------------------------------------------------------------------------
SEC USE ONLY
-----------------------------------------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION United States of America
-----------------------------------------------------------------------------------------------------------------
NUMBER OF SOLE VOTING POWER 0
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
-----------------------------------------------------------------------------------------------------------------
SHARED VOTING POWER 151,759
-----------------------------------------------------------------------------------------------------------------
SOLE DISPOSITIVE POWER 0
-----------------------------------------------------------------------------------------------------------------
SHARED DISPOSITIVE POWER 151,759
-----------------------------------------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 151,759
-----------------------------------------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES*
-----------------------------------------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.7%
-----------------------------------------------------------------------------------------------------------------
TYPE OF REPORTING PERSON* IN
-----------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
-2-
-----------------------------------------------------------------------------------------------------------------
NAME OF REPORTING PERSONS: Eric D. Jacobs
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
-----------------------------------------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) 0
(b) |X|
-----------------------------------------------------------------------------------------------------------------
SEC USE ONLY
-----------------------------------------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION United States of America
-----------------------------------------------------------------------------------------------------------------
NUMBER OF SOLE VOTING POWER 0
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
-----------------------------------------------------------------------------------------------------------------
SHARED VOTING POWER 151,759
-----------------------------------------------------------------------------------------------------------------
SOLE DISPOSITIVE POWER 0
-----------------------------------------------------------------------------------------------------------------
SHARED DISPOSITIVE POWER 151,759
-----------------------------------------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 151,759
-----------------------------------------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES*
-----------------------------------------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.7%
-----------------------------------------------------------------------------------------------------------------
TYPE OF REPORTING PERSON* IN
-----------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
-3-
-----------------------------------------------------------------------------------------------------------------
NAME OF REPORTING PERSONS: Miller & Jacobs Capital, L.L.C.
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) 13-3920489
-----------------------------------------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) 0
(b) |X|
-----------------------------------------------------------------------------------------------------------------
SEC USE ONLY
-----------------------------------------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Virgin Islands
-----------------------------------------------------------------------------------------------------------------
NUMBER OF SOLE VOTING POWER 0
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
-----------------------------------------------------------------------------------------------------------------
SHARED VOTING POWER 151,759
-----------------------------------------------------------------------------------------------------------------
SOLE DISPOSITIVE POWER 0
-----------------------------------------------------------------------------------------------------------------
SHARED DISPOSITIVE POWER 151,759
-----------------------------------------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 151,759
-----------------------------------------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES*
-----------------------------------------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.7%
-----------------------------------------------------------------------------------------------------------------
TYPE OF REPORTING PERSON* CO
-----------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT
-4-
Item 1(a). Name of Issuer:
Carolina Bank Holdings, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
2604 Lawndale Drive
Greensboro, NC 27408
Item 2(a). Name of Persons Filing:
Jeffrey A. Miller
Eric D. Jacobs
Miller & Jacobs Capital, L.L.C.
(collectively, the "Reporting Persons")
Item 2(b). Address of Principal Business Office or, if None, Residence:
The principal business address of the Reporting
Persons is:
P.O. Box 26039 Gallows Bay Station
Christiansted, St. Croix, USVI 00824
Item 2(c). Citizenship:
Jeffrey A. Miller: United States of America
Eric D. Jacobs: United States of America
Miller & Jacobs Capital, L.L.C. is organized in the
U.S. Virgin Islands
Item 2(d). Title of Class of Securities:
Common Stock, $1.00 par value per share
Item 2(e). CUSIP Number:
143785103
-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: Not Applicable
(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 registered under Section 8 of the
Investment Company Exchange Act;
(e) [ ] Investment Adviser in accordance with Rule
13d-1(b)(1)(ii)(E);
(f) [ ] Employee Benefit Plan or Endowment Fund in accordance with
Rule 13d-1(b)(1)(ii)(F);
(g) [ ] Parent Holding Company or Control Person in accordance with
Rule 13d-1(b)(1)(ii)(G);
(h) [ ] Saving Association as defined in Section 3(b) of The Federal
Deposit Insurance Act;
(i) [ ] 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).
Item 4. Ownership.
A. Jeffrey A. Miller
(a) Amount beneficially owned: 151,759
(b) Percent of Class: 6.7%
(c) Number of shares as to which such person has:
(i) Sole power to vote or direct the vote: 0
(ii) Shared power to vote or to direct the vote: 151,759
(iii)Sole power to dispose or direct the disposition of: 0
(iv) Shared power to dispose or to direct the disposition of: 151,759
B. Eric D. Jacobs
(a) Amount beneficially owned: 151,759
(b) Percent of Class: 6.7%
-6-
(c) Number of shares as to which such person has:
(i) Sole power to vote or direct the vote: 0
(ii) Shared power to vote or to direct the vote: 151,759
(iii)Sole power to dispose or direct the disposition of: 0
(iv) Shared power to dispose or to direct the disposition of: 151,759
C. Miller & Jacobs Capital, L.L.C.
(a) Amount beneficially owned: 151,759
(b) Percent of Class: 6.7%
(c) Number of shares as to which such person has:
(i) Sole power to vote or direct the vote: 0
(ii) Shared power to vote or to direct the vote: 151,759
(iii)Sole power to dispose or direct the disposition of: 0
(iv) Shared power to dispose or to direct the disposition of: 151,759
As calculated in accordance with Rule 13d-3 of the Securities Exchange
Act of 1934, as amended, Jeffrey A. Miller, Eric D. Jacobs and Miller & Jacobs
Capital, L.L.C. beneficially own 151,759 shares of the Issuer's Common Stock,
$1.00 par value per share ("Common Stock"), representing 6.7% of the Common
Stock. Mr. Miller and Mr. Jacobs do not directly own any shares of Common Stock,
but they do indirectly own 151,759 shares of Common Stock in their capacity as
the sole managers and members of Miller & Jacobs Capital, L.L.C., a Virgin
Islands limited liability company ("MJC"), which in turn (a) serves as the
general partner for Acadia Fund I, L.P., a Delaware limited partnership ("Acadia
LP"), (b) serves as a sub-advisor with discretionary investment advisory
authority for Acadia Life International, a Bermuda corporation ("Life"), (c)
serves as a sub-advisor with discretionary investment advisory authority for
Avant Garde Investment, Ltd., a British Virgin Islands corporation ("Avant
Garde"), and (d) serves as investment manager for Cerulean Partners, Ltd., an
exempt company incorporated in the Cayman Islands ("Cerulean").
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.
Each of Acadia LP, Cerulean, Life and Avant Garde
have the right to receive dividends and the proceeds
from the sale of the shares of Common Stock held by
such person.
-7-
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.
-8-
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 17, 2005
/s/ Jeffrey A. Miller
---------------------------------
Jeffrey A. Miller
/s/ Eric D. Jacobs
---------------------------------
Eric D. Jacobs
MILLER & JACOBS CAPITAL, L.L.C.
By: /s/ Eric D. Jacobs
-----------------------------
Name: Eric D. Jacobs
Title: Managing Member
EXHIBIT INDEX
Exhibits
--------
1. Joint Filing Agreement, dated February 17, 2005, amongst Jeffrey A. Miller,
Eric D. Jacobs, and Miller & Jacobs Capital, L.L.C.
-9-
EXHIBIT 1
---------
JOINT FILING AGREEMENT
The undersigned hereby agree that this Statement on Schedule 13G with
respect to the beneficial ownership of shares of Common Stock, par value $ 1.00
per share, of Carolina Bank Holdings, Inc. is filed jointly, on behalf of each
of them.
Dated: February 17, 2005
/s/ Jeffrey A. Miller
---------------------------------
Jeffrey A. Miller
/s/ Eric D. Jacobs
---------------------------------
Eric D. Jacobs
MILLER & JACOBS CAPITAL, L.L.C.
By: /s/ Eric D. Jacobs
-----------------------------
Name: Eric D. Jacobs
Title: Managing Member
-10-