-----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, VC92LEaNoEU8edZj1nUC3CraZn2r5BYKq6dF0NYfl4CKUlhHy7RiQYRa7a/DenRq d18claGXVxF61f7Wl+rwCQ== 0001179110-05-000735.txt : 20050107 0001179110-05-000735.hdr.sgml : 20050107 20050107172052 ACCESSION NUMBER: 0001179110-05-000735 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20050106 FILED AS OF DATE: 20050107 DATE AS OF CHANGE: 20050107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CEA CAPITAL PARTNERS USA C1 LP CENTRAL INDEX KEY: 0001140606 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32362 FILM NUMBER: 05519059 BUSINESS ADDRESS: STREET 1: C/O SEAPORT CAPITAL PARTNERS STREET 2: 199 WATER STREET CITY: NEW YORK STATE: NY ZIP: 10038 MAIL ADDRESS: STREET 1: C/O SEAPORT CAPITAL PARTNERS STREET 2: 199 WATER STREET CITY: NEW YORK STATE: NY ZIP: 10038 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OTELCO INC. CENTRAL INDEX KEY: 0001288359 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 522128395 STATE OF INCORPORATION: AL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 505 THIRD AVE E CITY: ONEONTA STATE: AL ZIP: 35121 BUSINESS PHONE: 205-625-3574 MAIL ADDRESS: STREET 1: 505 THIRD AVE E CITY: ONEONTA STATE: AL ZIP: 35121 FORMER COMPANY: FORMER CONFORMED NAME: RURAL LEC ACQUISITION LLC DATE OF NAME CHANGE: 20040423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CEA CAPITAL PARTNERS USA L P CENTRAL INDEX KEY: 0001033922 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32362 FILM NUMBER: 05519060 BUSINESS ADDRESS: STREET 1: C/O SEAPORT CAPITAL PARTNERS STREET 2: 199 WATER STREET CITY: NEW YORK STATE: NY ZIP: 10038 BUSINESS PHONE: 2124251400 MAIL ADDRESS: STREET 1: C/O SEAPORT CAPITAL PARTNERS STREET 2: 199 WATER STREET CITY: NEW YORK STATE: NY ZIP: 10038 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Atlantic American Holdings, Inc. CENTRAL INDEX KEY: 0001311186 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32362 FILM NUMBER: 05519057 BUSINESS ADDRESS: STREET 1: 101 EAST KENNEDY BLVD. STREET 2: SUITE 3300 CITY: TAMPA STATE: FL ZIP: 33602 BUSINESS PHONE: 813-226-8844 MAIL ADDRESS: STREET 1: 101 EAST KENNEDY BLVD. STREET 2: SUITE 3300 CITY: TAMPA STATE: FL ZIP: 33602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CEA Equity Offshore, Ltd. CENTRAL INDEX KEY: 0001311187 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32362 FILM NUMBER: 05519058 BUSINESS ADDRESS: STREET 1: CAYMAN NATIONAL BUILDING, #200 ELGIN AVE STREET 2: P.O. BOX 1790 GT CITY: BSI GRAND CAYMAN STATE: E9 ZIP: 00000 BUSINESS PHONE: 345-949-5688 MAIL ADDRESS: STREET 1: CAYMAN NATIONAL BUILDING, #200 ELGIN AVE STREET 2: P.O. BOX 1790 GT CITY: BSI GRAND CAYMAN STATE: E9 ZIP: 00000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CEA Investment Partners, L.P. CENTRAL INDEX KEY: 0001311188 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32362 FILM NUMBER: 05519061 BUSINESS ADDRESS: STREET 1: 101 EAST KENNEDY BLVD. STREET 2: SUITE 3300 CITY: TAMPA STATE: FL ZIP: 33602 BUSINESS PHONE: 813-226-8844 MAIL ADDRESS: STREET 1: 101 EAST KENNEDY BLVD. STREET 2: SUITE 3300 CITY: TAMPA STATE: FL ZIP: 33602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: J. Patrick Michaels, Jr. Family Trust CENTRAL INDEX KEY: 0001311194 STATE OF INCORPORATION: FL FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32362 FILM NUMBER: 05519056 BUSINESS ADDRESS: STREET 1: 101 EAST KENNEDY BLVD. STREET 2: SUITE 3300 CITY: TAMPA STATE: FL ZIP: 33602 BUSINESS PHONE: 813-226-8844 MAIL ADDRESS: STREET 1: 101 EAST KENNEDY BLVD. STREET 2: SUITE 3300 CITY: TAMPA STATE: FL ZIP: 33602 4 1 edgar.xml FORM 4 - X0202 4 2005-01-06 1 0001288359 OTELCO INC. OTT 0001033922 CEA CAPITAL PARTNERS USA L P 199 WATER STREET, 20TH FLOOR NEW YORK NY 10038 0 0 1 0 0001140606 CEA CAPITAL PARTNERS USA C1 LP 199 WATER STREET, 20TH FLOOR NEW YORK NY 10038 0 0 1 0 0001311187 CEA Equity Offshore, Ltd. CAYMAN NATIONAL BUILDING, #200 ELGIN AVE P.O. BOX 1790 GT BSI GRAND CAYMAN E9 00000 CAYMAN ISLANDS 0 0 1 0 0001311188 CEA Investment Partners, L.P. 101 EAST KENNEDY BLVD., SUITE 3300 TAMPA FL 33602 0 0 1 0 0001311186 Atlantic American Holdings, Inc. 101 EAST KENNEDY BLVD., SUITE 3300 TAMPA FL 33602 0 0 1 0 0001311194 J. Patrick Michaels, Jr. Family Trust 101 EAST KENNEDY BLVD., SUITE 3300 TAMPA FL 33602 0 0 1 0 Class A Common Stock 2005-01-06 4 S 0 421999 14.288 D 3855 I See Footnote Included in the sale of 421,999 Income Deposit Securites ("IDSs") that each consisted of one share of Class A common stock and one 13% senior subordinated note due 2019 with a $7.50 principal amount. This is the sale price of the IDSs set forth in the Underwriting Agreement dated December 16, 2004, relating to the sale of the IDSs. See Exhibit 99.1. [See CEA Capital Partners USA, L.P. Signature attached as Exhibit 99.2] 2005-01-06 [See CEA Capital Partners USA CI, L.P. Signature attached as Exhibit 99.2] 2005-01-06 [See CEA Equity Offshore, Ltd. Signature attached as Exhibit 99.2] 2005-01-06 [See CEA Investment Partners, L.P. Signature attached as Exhibit 99.2] 2005-01-06 [See Atlantic American Holdings, Inc. Signature attached as Exhibit 99.2] 2005-01-06 [See J. Patrick Michaels, Jr. Family Trust Signature attached as Exhibit 99.2] 2005-01-06 EX-99.1 2 ex991ceacapital.txt Exhibit 99.1 The amount reported includes securities owned by CEA Capital Partners USA, L.P. and CEA Capital Partners USA CI, L.P. The general partner of CEA Capital Partners USA, L.P. is CEA Investment Partners, L.P. The general partner of CEA Capital Partners USA CI, L.P. is CEA Equity Offshore, Ltd. The general partner of CEA Equity Offshore, Ltd. is CEA Investment Partners, L.P. The general partner of CEA Investment Partners, L.P. is CEA Capital Corp. CEA Capital Corp. is wholly owned by Atlantic American Holdings, Inc., which is wholly owned by the J. Patrick Michaels, Jr. Family Trust. CEA Capital Partners USA, L.P., CEA Capital Partners USA CI, L.P., CEA Equity Offshore, Ltd., CEA Investment Partners, L.P., CEA Capital Corp., Atlantic American Holdings, Inc. and the J. Patrick Michaels, Jr. Family Trust disclaim ownership of all securities reported herein in excess of their pecuniary interests, if any, and this report shall not be deemed an admission that any such person or entity is the beneficial owner of, or has any pecuniary interest in, such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. EX-99.2 3 ex992ceacapital.txt Exhibit 99.2 JOINT FILER INFORMATION This Statement on Form 4 is filed by CEA Capital Partners USA, L.P., CEA Capital Partners USA CI, L.P., CEA Equity Offshore, Ltd., CEA Investment Partners, L.P., CEA Capital Corp., Atlantic American Holdings, Inc. and the J. Patrick Michaels, Jr. Family Trust. The principal business address of each of the Reporting Persons is 199 Water Street, New York, NY 10038. Name of Designated Filer: CEA Capital Partners USA, L.P. Date of Event Requiring Statement: January 06, 2005 Issuer Name and Ticker or Trading Symbol: Otelco Inc. [OTT] CEA CAPITAL PARTNERS USA, L.P. By: CEA INVESTMENT PARTNERS, L.P. Its General Partner By: CEA CAPITAL CORP. Its General Partner By:/s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact CEA CAPITAL PARTNERS USA CI, L.P. By: CEA EQUITY OFFSHORE, LTD. Its General Partner By:/s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact CEA EQUITY OFFSHORE, LTD. By: /s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact CEA INVESTMENT PARTNERS, L.P. By: CEA CAPITAL CORP. Its General Partner By:/s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact CEA CAPITAL CORP. By: /s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact ATLANTIC AMERICAN HOLDINGS, INC. By: /s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact J. PATRICK MICHAELS, JR. FAMILY TRUST By: /s/ Michael D. Weaver Name: Michael D. Weaver Title: Attorney-in-Fact -----END PRIVACY-ENHANCED MESSAGE-----