-----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, Q3ye9q6NMIN8lkGgwidgK19DdRPK00YzAAgcJSn5et1Za9ABCL2yqCIV+Dw7lm5x HRFsrfZy2WuKBG9aGD9WBQ== 0000950131-99-000855.txt : 19990215 0000950131-99-000855.hdr.sgml : 19990215 ACCESSION NUMBER: 0000950131-99-000855 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990212 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FIRST COMMONWEALTH INC CENTRAL INDEX KEY: 0001001493 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 752154228 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-47091 FILM NUMBER: 99534577 BUSINESS ADDRESS: STREET 1: 444 NORTH WELLS ST STREET 2: STE 600 CITY: CHICAGO STATE: IL ZIP: 60610 BUSINESS PHONE: 3126441800 MAIL ADDRESS: STREET 1: 444 NORTH WELLS ST STREET 2: STE 600 CITY: CHICAGO STATE: IL ZIP: 60610 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MULTHAUF CHRISTOPHER C CENTRAL INDEX KEY: 0001007384 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: FIRST COMMONWEALTH STREET 2: 444 N WELLS SUITE 600 CITY: CHICAGO STATE: IL ZIP: 60610 BUSINESS PHONE: 3126441800 MAIL ADDRESS: STREET 1: FIRST COMMONWEALTH STREET 2: 444 N WELLS SUITE 600 CITY: CHICAGO STATE: IL ZIP: 60610 SC 13G 1 SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 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 Rule 13d-2(b) (Amendment No. 3)/1/ FIRST COMMONWEALTH, INC. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, par value $.001, including associated preferred stock purchase rights - -------------------------------------------------------------------------------- (Title of Class of Securities) 319983 10 2 --------------------------------------- (CUSIP Number) December 31, 1998 ----------------------------------------------------- Date of Event Which Requests 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) - ------------------------------ /1/ The remainder of this cover page shall be filed 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 13G - ------------------------ ------------------- CUSIP NO. 319983 10 2 Page 2 of 5 Pages - ------------------------ ------------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON 1 I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Christopher C. Multhauf - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2 (a) [_] Not Applicable (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 U.S. Citizen - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF 329,788 Shares SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 -0- OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 329,788 Shares PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 -0- - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 329,788 Shares - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 Not Applicable [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 9.0% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12 IN - ------------------------------------------------------------------------------ *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 5 Pages Item 1(a). Name of Issuer: First Commonwealth, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 444 N. Wells St., Suite 600, Chicago, IL 60610 Item 2(a). Name of Person Filing: Christopher C. Multhauf Item 2(b). Address of Principal Business Office or, if None, Residence: 444 N. Wells St., Suite 600, Chicago, IL 60610 Item 2(c). Citizenship: U.S. Citizen Item 2(d). Title of Class of Securities: Common Stock, par value $.001, including preferred stock purchase rights Item 2(e). CUSIP Number: 319983 10 2 Item 3. NOT APPLICABLE Item 4. Ownership. (a) Amount beneficially owned: 329,788 Shares (b) Percent of class: 9.0% - Based on 3,684,525 shares outstanding on December 31, 1998 (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote - 329,788 Shares (ii) Shared power to vote or direct the vote - None (iii) Sole power to dispose or to direct the disposition of - 329,788 Shares (iv) Shared power to dispose or to direct the disposition of - None Page 3 of 5 Pages Item 5. Ownership of Five Percent or Less of a Class. NOT APPLICABLE 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. 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. NOT APPLICABLE Page 4 of 5 Pages 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. February 12, 1999 --------------------------------- (Date) /s/ Christopher C. Multhauf --------------------------------- (Signature) Christopher C. Multhauf --------------------------------- (Name/Title) Page 5 of 5 Pages -----END PRIVACY-ENHANCED MESSAGE-----