-----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, MaBl0HMZ3AURNPum3069q6V8oB8ETZeIowSVVF6UeN/VmMv8x6D+kCGngSuLYfuJ Og8ocbavokqUd45l19Iphg== 0001021771-05-000206.txt : 20050715 0001021771-05-000206.hdr.sgml : 20050715 20050715164636 ACCESSION NUMBER: 0001021771-05-000206 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050715 DATE AS OF CHANGE: 20050715 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DCAP GROUP INC CENTRAL INDEX KEY: 0000033992 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 362476480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-12743 FILM NUMBER: 05957703 BUSINESS ADDRESS: STREET 1: 1158 BROADWAY CITY: HEWLETT STATE: NY ZIP: 11557 BUSINESS PHONE: 516 374-7600 MAIL ADDRESS: STREET 1: 1158 BROADWAY CITY: HEWLETT STATE: NY ZIP: 11557 FORMER COMPANY: FORMER CONFORMED NAME: DCAP GROUP INC/ DATE OF NAME CHANGE: 19990702 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: CERTILMAN MORTON L CENTRAL INDEX KEY: 0001016869 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A 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: DCAP GROUP INC DATE OF NAME CHANGE: 19990305 FORMER COMPANY: FORMER CONFORMED NAME: CERTILMAN MORTON L DATE OF NAME CHANGE: 19960614 SC 13D/A 1 schedule13da.htm SCHEDULE 13D/A NO. 3 - DCAP GROUP, INC. DATED JULY 13, 2005 Schedule 13D/A No. 3 - DCAP Group, Inc. dated July 13, 2005


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

SCHEDULE 13D
(Rule 13d-101)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(a)


(Amendment No. 3 )*

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
(516) 296-7000
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)

July 13, 2005
(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) [ ]

3.
SEC Use Only
(b) [ ]

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
Beneficially Owned
By Each Reporting
Person With
7.
Sole Voting Power
151,701
    _______________________
 
8.
Shared Voting Power
0
   
_______________________
 
9.
Sole Dispositive Power
151,701
     
   
_______________________
 
10.
Shared Dispositive Power
   
0

11.
Aggregate Amount Beneficially Owned by Reporting Person
151,701
 

12.
Box if the Aggregate Amount in Row (11) Excludes Certain Shares [ ]
 
13.
Percent of Class Represented by Amount in Row (11)
5.5%
 
14.
Type of Reporting Person
IN
ITEM 1.
SECURITY AND ISSUER.

This statement amends and supplements the Schedule 13D for an event dated March 28, 2001, as previously amended by Amendment No. 1, for an event dated May 17, 2002, and by Amendment No. 2, for an event dated December 2, 2003, filed by the Reporting Person relating 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 1158 Broadway, Hewlett, New York 11557.

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) The Reporting Person is engaged in the practice of law.

(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.
 
Not applicable.
 
ITEM 4.
PURPOSE OF TRANSACTION.
 
Not applicable.
 
ITEM 5.
INTEREST IN SECURITIES OF THE ISSUER.

As of the date hereof, the Reporting Person is the beneficial owner of 151,701 shares of Common Stock of the Company (or approximately 5.5% of the outstanding Common Stock of the Company). Of such shares of Common Stock, 25,000 are issuable upon the exercise of options that are currently exercisable. The Reporting Person has sole voting and dispositive power over all of such shares.
During the past 60 days, the Reporting Person has not effected any transactions in the Common Stock of the Company, except that the Reporting Person gifted an aggregate of 60,000 shares on July 13, 2005.

ITEM 6.
CONTRACTS, AGREEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER.
 
Not applicable.
 
ITEM 7.
MATERIAL TO BE FILED AS EXHIBITS.
 
Not applicable.
SIGNATURES
 
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: July 15, 2005


/s/ Morton L. Certilman
Morton L. Certilman
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