-----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, FhjrLo8DovHTpMrwVCWhcHb/V13MnoB0n5up3o44yUCCSTbwCZnMTKY1bH50+wzi p8+j8w90vfypz0rBTem9vw== 0000950138-02-000230.txt : 20020906 0000950138-02-000230.hdr.sgml : 20020906 20020906152300 ACCESSION NUMBER: 0000950138-02-000230 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20020906 GROUP MEMBERS: SDS PARTNERS I, LTD. GROUP MEMBERS: STEPHANIE SEIBALD FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SIEBALD JACK D CENTRAL INDEX KEY: 0001186619 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1336 BOXWOOD DRIVE WEST CITY: HEWLETT HARBOR STATE: NY ZIP: 11557 BUSINESS PHONE: 5167465718 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DCAP GROUP INC/ CENTRAL INDEX KEY: 0000033992 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 362476480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-06552 FILM NUMBER: 02758543 BUSINESS ADDRESS: STREET 1: 90 MERRICK AVE STREET 2: 9TH FLOOR CITY: EAST MEADOW STATE: NY ZIP: 11554 BUSINESS PHONE: 5167946300 MAIL ADDRESS: STREET 1: 90 MERRICK AVE 9TH FLOOR STREET 2: 90 MERRICK AVE 9TH FLOOR CITY: EAST MEADOW STATE: NY ZIP: 11554 FORMER COMPANY: FORMER CONFORMED NAME: EXECUTIVE HOUSE INC DATE OF NAME CHANGE: 19911119 FORMER COMPANY: FORMER CONFORMED NAME: EXTECH CORP DATE OF NAME CHANGE: 19920703 SC 13G 1 sept13g_seibald.txt MISC\SEPT13G_SEIBALD SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) DCAP GROUP, INC. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value per share - -------------------------------------------------------------------------------- (Title of Class of Securities) 233065 10 1 ----------- (CUSIP Number) August 30, 2002 - -------------------------------------------------------------------------------- (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) *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 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). SCHEDULE 13G CUSIP NO. 233065 10 1 Page 2 of 8 _____________________________________________________________________________ 1 NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (Entities Only) Jack Seibald _____________________________________________________________________________ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [x] (b) [ ] _____________________________________________________________________________ 3 SEC USE ONLY _____________________________________________________________________________ 4 CITIZENSHIP OR PLACE OF ORGANIZATION Netherlands _____________________________________________________________________________ NUMBER OF 5 SOLE VOTING POWER SHARES 500,000 (See Item 4) ______________________________________________________________ BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 500,000 ______________________________________________________________ EACH 7 SOLE DISPOSITIVE POWER REPORTING 500,000 (See Item 4) ______________________________________________________________ PERSON 8 SHARED DISPOSITIVE POWER WITH 500,000 _____________________________________________________________________________ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,000,000 (See Item 4) _____________________________________________________________________________ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ] _____________________________________________________________________________ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 8.8% (Based on 11,353,402 shares outstanding on 7/31/02, plus the shares of Common Stock purchased by the Reporting Persons) _____________________________________________________________________________ 12 TYPE OF REPORTING PERSON IN _____________________________________________________________________________ SCHEDULE 13G CUSIP NO. 233065 10 1 Page 3 of 8 _____________________________________________________________________________ 1 NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (Entities Only) Stephanie Seibald _____________________________________________________________________________ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [x] (b) [ ] _____________________________________________________________________________ 3 SEC USE ONLY _____________________________________________________________________________ 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States _____________________________________________________________________________ NUMBER OF 5 SOLE VOTING POWER SHARES 0 (See Item 4) ______________________________________________________________ BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 500,000 ______________________________________________________________ EACH 7 SOLE DISPOSITIVE POWER REPORTING 0 (See Item 4) ______________________________________________________________ PERSON 8 SHARED DISPOSITIVE POWER WITH 500,000 _____________________________________________________________________________ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 500,000 _____________________________________________________________________________ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ] _____________________________________________________________________________ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 4.4% (Based on 11,353,402 shares outstanding on 7/31/02, plus the shares of Common Stock purchased by the Reporting Persons) _____________________________________________________________________________ 12 TYPE OF REPORTING PERSON IN _____________________________________________________________________________ SCHEDULE 13G CUSIP NO. 233065 10 1 Page 4 of 8 _____________________________________________________________________________ 1 NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (Entities Only) SDS Partners I, Ltd. _____________________________________________________________________________ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [x] (b) [ ] _____________________________________________________________________________ 3 SEC USE ONLY _____________________________________________________________________________ 4 CITIZENSHIP OR PLACE OF ORGANIZATION Florida _____________________________________________________________________________ NUMBER OF 5 SOLE VOTING POWER SHARES 500,000 (See Item 4) ______________________________________________________________ BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 0 ______________________________________________________________ EACH 7 SOLE DISPOSITIVE POWER REPORTING 500,000 (See Item 4) ______________________________________________________________ PERSON 8 SHARED DISPOSITIVE POWER WITH 0 _____________________________________________________________________________ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 500,000 (See Item 4) _____________________________________________________________________________ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ] _____________________________________________________________________________ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 4.4% (Based on 11,353,402 shares outstanding on 7/31/02, plus the shares of Common Stock purchased by the Reporting Persons) _____________________________________________________________________________ 12 TYPE OF REPORTING PERSON PN _____________________________________________________________________________ SCHEDULE 13G CUSIP NO. 233065 10 1 Page 5 of 8 Item 1. Name of the Issuer and Address (a) DCAP Group, Inc. ("DCAP"). (b) The principal executive offices of DCAP are 1158 Broadway, Hewlett, New York 11557. Item 2. Identity, Address, Citizenship, Title of Class of Securities and CUSIP Number Items 2(a), (b), (c) This Schedule 13G ("Statement") is being filed by Jack Seibald ("J. Seibald"), Stephanie Seibald ("S. Seibald") and SDS Partners I, Ltd., a Florida limited partnership ("SDS", which together with J. Seibald and S. Seibald shall be referred to collectively as the "Group"; each member of the Group shall be referred to individually as a "Member" and collectively as "Members"). The address of principal business office of each of J. Seibald and S. Seibald is 1336 Boxwood Drive West, Hewlett Harbor, NY 11557. The address of principal business office of SDS is 43 Hampshire Lane, Boyton Beach, FL 33436. J. Seibald is a citizen of the Netherlands. S. Seibald is a United States citizen. Item 2(d), (e) This Statement relates to the Common Stock, $.01 par value per share, of DCAP (the "DCAP Common Stock"). The CUSIP number for the DCAP Common Stock is 233065 10 1. Item 3. If this statement is filed pursuant to Sections 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: Not Applicable Item 4. Ownership J. Seibald and S. Seibald, jointly, own 500,000 shares of DCAP Common Stock, representing 4.4 % of DCAP issued and outstanding shares (based on 11,353,402 shares outstanding on 7/31/02, plus the shares of Common Stock purchased by the Reporting Persons). J. Seibald and S. Seibald are husband and wife. SDS owns 500,000 shares of DCAP Common Stock (the "SDS Shares"), representing 4.4% of DCAP's issued and outstanding shares (based on 11,353,402 shares outstanding on 7/31/02, plus the shares of Common Stock purchased by the Reporting Persons). J. Seibald, S. Seibald and their three children are beneficiaries of a trust that is a limited partner of SDS. SDS granted to J. Seibald the power-of-attorney to hold, pledge, transfer, assign, sell or otherwise dispose of, by endorsement or otherwise, the SDS Shares and to attend, vote for and otherwise take part in all and any general meetings of DCAP, whether ordinary or extraordinary, held by or in connection with the SDS Shares. 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: See Item 4. SCHEDULE 13G CUSIP NO. 233065 10 1 Page 6 of 8 Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported By the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. The members of the Group are Jack Seibald, Stephanie Seibald and SDS Partners I, Ltd. Item 9. Notice of Dissolution of a 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. SCHEDULE 13G CUSIP NO. 233065 10 1 Page 7 of 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: September 6, 2002 By: /s/ Jack Seibald ------------------------------- Jack Seibald By: /s/ Stephanie Seibald ------------------------------- Stephanie Seibald SDS PARTNERS I, LTD. By: /s/ Jack Seibald ------------------------------- Jack Seibald, Attorney-in-fact JOINT FILING AGREEMENT JOINT FILING AGREEMENT made as of this 6th day of September, 2002 by and among JACK SEIBALD ("J. Seibald"), STEPHANIE SEIBALD ("S. Seibald"), and SDS PARTNERS I, LTD. ("SDS"), a Florida limited partnership, WHEREAS, J. Seibald, S. Seibald and SDS collectively beneficially own more than five (5%) percent of the issued and outstanding common stock, $.01 par value of DCAP Group, Inc. ("DCAP"), a Delaware corporation; and WHEREAS, pursuant to Section 13(g) of the Securities Exchange Act of 1934, as amended and the rules and regulations promulgated thereunder, the parties hereto are required to file a Schedule 13G with the Securities and Exchange Commission ("SEC"). NOW, THEREFORE, the parties agree as follows: 1. J. Seibald, S. Seibald and SDS hereby agree to jointly file a Schedule 13G with the SEC regarding the beneficial ownership of DCAP Common Stock and to file any and all amendments and supplements thereto. 2. This Agreement contains the entire agreement among the parties concerning the subject matter hereof and may not be amended, modified or changed except pursuant to a written instrument signed by all parties. IN WITNESS WHEREOF, the parties have signed this Agreement the day and year first above written. By: /s/ Jack Seibald ------------------------------- Jack Seibald By: /s/ Stephanie Seibald ------------------------------- Stephanie Seibald SDS PARTNERS I, LTD. By: /s/ Jack Seibald ------------------------------- Jack Seibald, Attorney-in-fact EX-24 3 powerofattorney.txt POWER OF ATTORNEY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: SDS Partners I, Ltd., a partnership established and existing under the laws of Florida and having its principal place of business at 43 Hampshire Lane, Boynton Beach, FL 33436 (the "Company") does hereby make, constitute and appoint Mr. Jack Seibald having his address at 1336 Boxwood Drive West, Hewlett Harbor, NY 11557 as its true and lawful Attorneys-in-fact with full power and authority to act independently, as herein described, in the name and on behalf of the Company: 1. To execute and deliver on behalf of the Company a Securities Purchase Agreement (the "Purchase Agreement") for the acquisition of certain shares of common stock of DCAP GROUP, INC. (the "Shares") and to make such other changes to the Purchase Agreement as he deems necessary to complete the negotiations of the transactions contemplated by the Purchase Agreement. 2. To execute and deliver all documents, contracts, agreements, and any and all such other instruments or documents or amendments thereto in connection with such negotiations of the transactions contemplated by the Purchase Agreement. 3. To do any and all other things and to take any and all other actions and to delivery any and all other instruments as may be necessary or convenient to effectuate the foregoing. 4. To hold, pledge, transfer, assign, sell or otherwise dispose of, by endorsment or otherwise, the Shares and to sign, on behalf of the Company, stock transfer or similar documents and ledgers with respect to the Shares; and in general, to exercise, in the name of the Company all rights conferred by law, articles of incorporation or association, by virtue or attached to the Shares and with respect to the ownership of the Shares. 5. To attend, vote for and on behalf of the Company and otherwise take part in all and any general meetings, whether ordinary or extraordinary, held by or in connection with the Shares. The Attorney in fact shall not incur any liability for, and the Company shall indemnity and hold him harmless against, any damage, loss or expense incurred by him with respect to any act or omission taken in good faith pursuant to this power of attorney or upon the advice of counsel given in respect to any question relating to his duties and responsibilities hereunder. Giving and granting unto its said Attorney-in-fact full power and authority to do and perform each and every act and thing whatsoever requisite, necessary and proper to be done in the performance of the above to all intents and purposes as it might or could do if it were acting for itself with full power of substitution and revocation, hereby ratifying and confirming all that its said Attorney-in-fact or his substitute shall lawfully do or cause to be done by virtue of this document unless revoked by the undersigned Company by written instrument. IN WITNESS WHEREOF, the Company has caused its partnership name to be subscribed hereto by its duly authorized representative this 26th day of August 2002. SDS PARTNERS I, LTD. By: /s/ Stewart R. Spector ----------------------- Name: Stewart R. Spector Title: General Partner By: /s/ Barbara J. Spector ------------------------ Name: Barbara J. Spector Title: General Partner 2 -----END PRIVACY-ENHANCED MESSAGE-----