-----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, VTAeLHzE1JNS/w3rZ802PNeupwF53FfU063biIUUEcgni/zszYgZ7dPrXTbnwtjj tD/NqnPnDnSfsOQ+5BJUTQ== 0000895813-01-500084.txt : 20010711 0000895813-01-500084.hdr.sgml : 20010711 ACCESSION NUMBER: 0000895813-01-500084 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010706 FILED AS OF DATE: 20010710 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN COUNTRY HOLDINGS INC CENTRAL INDEX KEY: 0000315411 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 060995978 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-22922 FILM NUMBER: 1677942 BUSINESS ADDRESS: STREET 1: 222 N LASALLE STREET STREET 2: C/O JOHN DE ELORZA CITY: CHICAGO STATE: IL ZIP: 60601-1105 BUSINESS PHONE: 3124562000 MAIL ADDRESS: STREET 1: 222 N LASALLE STREET CITY: CHICAGO STATE: IL ZIP: 60601-1105 FORMER COMPANY: FORMER CONFORMED NAME: WESTERN SYSTEMS CORP DATE OF NAME CHANGE: 19970326 FORMER COMPANY: FORMER CONFORMED NAME: WESTERN TRANSMEDIA CO INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: VIGILANCE SYSTEMS CORP DATE OF NAME CHANGE: 19920202 COMPANY DATA: COMPANY CONFORMED NAME: KONRAD RICHARD H CENTRAL INDEX KEY: 0001065192 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 222 NORTH LASALLE STREET STREET 2: SUITE 1600 CITY: CHICAGO STATE: IL ZIP: 60601-1105 BUSINESS PHONE: 9058258000 MAIL ADDRESS: STREET 1: 222 NORTH LASALLE STREET STREET 2: SUITE 1600 CITY: CHICAGO STATE: IL ZIP: 60601-1105 3 1 x0710-3.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person Richard H. Konrad 58 Chartwell Rd. Oakville, Ontario, Canada 2. Date of Event Requiring Statement July 6, 2001 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol American Country Holdings Inc. (ACHI) 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) (x) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) (x) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person Table I -- Non-Derivative Securities Beneficially Owned
1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Beneficially Owned Direct (D) or Indirect Indirect (I) Beneficial Ownership Common Stock, $.01 par 150,000 D value
Table II -- Derivative Securities Beneficially Owned
2. Date 3. Title and 5. Ownership Exercisable Amount of Form of and Expiration Underlying Derivative Date (Month/ Securities Security: Day/Year) 1. Title of Date Expira- Title Amount 4. Conversion Direct Indirect 6. Nature Derivative Exer- tion or or Exercise (D) (i) of Indirect Security cisable Date Number Price of Beneficial of Derivative Ownership Shares Security Option 6/7/01 6/6/06 Common 10,000 $2.18 D Stock, $.01 par value
Explanation of Responses: SIGNATURE OF REPORTING PERSON(S): /s/ Richard H. Konrad -------------------------- Richard H. Konrad DATE: July 9, 2001 Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -----END PRIVACY-ENHANCED MESSAGE-----