-----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, ACEilgFsMCFgletQGNR0UVaETDDhuuwSjWiwivHWwq7mPgml9gPj1fps3k2ZqaMq r4UwKL0nagfwY5o0CbOpug== 0001157523-07-001634.txt : 20070215 0001157523-07-001634.hdr.sgml : 20070215 20070215151602 ACCESSION NUMBER: 0001157523-07-001634 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20070215 DATE AS OF CHANGE: 20070215 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL ATLANTIC HOLDINGS CORP CENTRAL INDEX KEY: 0000946492 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 STATE OF INCORPORATION: NJ FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-80703 FILM NUMBER: 07627035 BUSINESS ADDRESS: STREET 1: 303 WEST MAIN ST CITY: FREEHOLD STATE: NJ ZIP: 07723 BUSINESS PHONE: 9087800700 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Gorman James V CENTRAL INDEX KEY: 0001306181 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: BUSINESS PHONE: (732) 665-1100 MAIL ADDRESS: STREET 1: 4 PARAGON WAY CITY: FREEHOLD STATE: NJ ZIP: 07728 SC 13G/A 1 a5335839.txt NATIONAL ATLANTIC HOLDINGS CORPORATION SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G/A UNDER THE SECURITIES EXCHANGE ACT OF 1934 National Atlantic Holdings Corporation - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, no par value per share - -------------------------------------------------------------------------------- (Title of Class of Securities) 63253Y107 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2006 - -------------------------------------------------------------------------------- (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 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). CUSIP No. ...63253Y107.................. - -------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). .....James V. Gorman............................................... - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) ............................................................. (b) ............................................................. - -------------------------------------------------------------------------------- 3. SEC Use Only ...................................................... - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization ............U.S.A.................................................. - -------------------------------------------------------------------------------- 5. Sole Voting Power ....1,685,126............................................... --------------------------------------------------------------- Number of Shares 6. Shared Voting Power 0.................................... Beneficially Owned by --------------------------------------------------------------- Each Reporting 7. Sole Dispositive Person With Power.......1,685,126....................................... --------------------------------------------------------------- 8. Shared Dispositive Power .....0............................. - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person........1,............................................ - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)................................. - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) .....14.7%......................................................... - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- ................................................................................. ................................................................................. ................................................................................. ................................................................................. ................................................................................. ................................................................................. - -------------------------------------------------------------------------------- ITEM 1. (a) Name of Issuer National Atlantic Holdings Corporation -------------------------------------- (b) Address of Issuer's Principal Executive Offices 4 Paragon Way, Freehold, NJ 07728 --------------------------------- ITEM 2. (a) Name of Person Filing James V. Gorman --------------- (b) Address of Principal Business Office or, if none, Residence 4 Paragon Way, Freehold, NJ 07728 --------------------------------- (c) Citizenship U.S.A. ------ (d) Title of Class of Securities Common Stock, no par value -------------------------- (e) CUSIP Number 63253Y107 --------- 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. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: _______1,685,126_________________. (b) Percent of class: ____14.7%________________________. (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote ____1,685,126_____. (ii) Shared power to vote or to direct the vote ___No shares____. (iii) Sole power to dispose or to direct the disposition of ________1,685,126_________. (iv) Shared power to dispose or to direct the disposition of _ No shares______________. Instruction. For computations regarding securities which represent a right to acquire an underlying security see Section 240.13d3(d)(1). 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 [ ]. Instruction: Dissolution of a group requires a response to this item. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not Applicable. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR CONTROL PERSON. 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 (a) The following certification shall be included if the statement is filed pursuant to Section 240.13d-1(b): By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and 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. (b) The following certification shall be included if the statement is filed pursuant to Section 240.13d-1(c): 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. 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. 2/15/07 --------------------------------- Date /s/ James V. Gorman --------------------------------- Signature Chairman and CEO --------------------------------- -----END PRIVACY-ENHANCED MESSAGE-----