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).