-----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, AzFnZewThG+44kWPpwMmC9De4/I8kodaaaQbdSmUnUotSsdD+CSZba4UjrVQEZ8W VFu8M6snMHq94B1nLgUmhw== 0001021771-01-000022.txt : 20010416 0001021771-01-000022.hdr.sgml : 20010416 ACCESSION NUMBER: 0001021771-01-000022 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010412 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 13D SEC ACT: SEC FILE NUMBER: 005-06552 FILM NUMBER: 1601569 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: EXTECH CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: EXECUTIVE HOUSE INC DATE OF NAME CHANGE: 19911119 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DCAP GROUP INC CENTRAL INDEX KEY: 0001016869 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D 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: CERTILMAN MORTON L DATE OF NAME CHANGE: 19960614 SC 13D 1 0001.txt SCHEDULE 13D UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 SCHEDULE 13D (Rule 13d-101) Under the Securities Exchange Act of 1934 DCAP Group, Inc. (Name of Issuer) Common Stock, $.01 Par Value (Title of Class of Securities) 233065 10 1 (CUSIP Number) Morton L. Certilman 90 Merrick Avenue East Meadow, New York 11554 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) March 28, 2001 (Date of Event Which Requires Filing of This Statement) If the Filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1 (b)(3) or (4), check the following box [ ] *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 ("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). Page 1 of 5 Pages SCHEDULE 13D CUSIP No. 233065 10 1 1. Name of Reporting Person Morton L. Certilman 2. Check the appropriate box if a member of a group (a) [ ] (b) [ X ] 3. SEC Use Only 4. Source of Funds N/A 5. Check box if disclosure of legal proceedings is required pursuant to items 2(d) or 2(e)[ ] 6. Citizenship or Place of Organization United States Number of Shares 7. Sole Voting Power Beneficially Owned 1,336,005 By Each Reporting -------------------------------------- Person With 8. Shared Voting Power 0 -------------------------------------- 9. Sole Dispositive Power 1,336,005 -------------------------------------- 10. Shared Dispositive Power 0 11. Aggregate Amount Beneficially Owned by Reporting Person 1,336,005 12. Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares [ ] 13. Percent of Class Represented by Amount in Row (11) 11.5% 14. Type of Reporting Person IN ITEM 1. SECURITY AND ISSUER. ------------------- The Reporting Person is making this statement in reference to shares of Common Stock, par value $.01 per share (the "Common Stock"), of DCAP Group, Inc., a Delaware corporation (the "Company"). The address of the principal executive offices of the Company is 2545 Hempstead Turnpike, East Meadow, New York 11554. ITEM 2. IDENTITY AND BACKGROUND. ----------------------- (a) Name of Reporting Person: Morton L. Certilman (b) Residence or business address: 90 Merrick Avenue East Meadow, New York 11554 (c) Mr. Certilman is engaged in the practice of law and is a member of the law firm, Certilman Balin Adler & Hyman, LLP. (d) The Reporting Person has not been convicted in a criminal proceeding in the last five years. (e) The Reporting Person has not, during the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction resulting in a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) The Reporting Person is a citizen of the United States of America. ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. ------------------------------------------------- N/A ITEM 4. PURPOSE OF TRANSACTION. ---------------------- Effective March 28, 2001, a voting arrangement by and among Jay M. Haft, Abraham Weinzimer, Kevin Lang and Mr. Certilman, that had been provided for in an Agreement, dated February 25, 1999, by and among Messrs. Certilman, Haft, Weinzimer, Lang and the Company, was terminated. As a result of the termination of the voting arrangement, Messrs. Haft, Weinzimer, Lang and Certilman are no longer considered a group. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. ------------------------------------ As of the date hereof, Mr. Certilman is the beneficial owner of 1,336,005 Common Shares of the Company (or approximately 11.5% of the outstanding Common Shares of the Company). Of such Common Shares, 902,452 are held in a retirement trust for the benefit of Mr. Certilman and 225,000 are issuable upon the exercise of options that are currently exercisable. Mr. Certilman has sole voting and dispositive power over all of such shares. During the past 60 days, Mr. Certilman has not effected any transactions in the Common Shares of the Company. ITEM 6. CONTRACTS, AGREEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. ---------------------------------------- See Item 5 hereof with respect to options held by the Reporting Person. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS. -------------------------------- None. SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement with respect to myself is true, complete and correct. Dated: April 10, 2001 ------------------ /s/ Morton L. Certilman ------------------------- Morton L. Certilman -----END PRIVACY-ENHANCED MESSAGE-----