-----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, GM2LAQ0CVrDTvfGaMUoD/GZS9EF9nRtGVFc5/BZpDZRqBWPBKStE+m5OevBO3jEB eONszUH3GZmWwEJ6mUkAqg== 0001005477-01-001172.txt : 20010223 0001005477-01-001172.hdr.sgml : 20010223 ACCESSION NUMBER: 0001005477-01-001172 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DRIVERSSHIELD COM CORP CENTRAL INDEX KEY: 0000778164 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS REPAIR SERVICES [7600] IRS NUMBER: 112750412 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-51517 FILM NUMBER: 1546192 BUSINESS ADDRESS: STREET 1: 51 E BETHPAGE ROAD CITY: PLAINVIEW STATE: NY ZIP: 11803 BUSINESS PHONE: 5169381010 MAIL ADDRESS: STREET 1: 51 E BETHPAGE ROAD CITY: PLAINVIEW STATE: NY ZIP: 11803 FORMER COMPANY: FORMER CONFORMED NAME: FIRST PRIORITY GROUP INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL FLEET GROUP INC DATE OF NAME CHANGE: 19880329 FORMER COMPANY: FORMER CONFORMED NAME: UNISEARCH INC DATE OF NAME CHANGE: 19860814 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SIEGEL BARRY CENTRAL INDEX KEY: 0001134578 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O DRIVERSHIELD.COM CORP STREET 2: 51 E BETHPAGE ROAD CITY: PLAINVIEW STATE: NY ZIP: 11746 BUSINESS PHONE: 5166941010X251 MAIL ADDRESS: STREET 1: C/O DRIVERSHIELD.COM CORP STREET 2: 51 E BETHPAGE ROAD CITY: PLAINVIEW STATE: NY ZIP: 11746 SC 13G 1 0001.txt SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 driversshield.com Corp. (Name of Issuer) Common Stock,$.015 par value per share (Title of Class of Securities) 262094-10-5 ----------- (CUSIP Number) 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 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. 262094-10-5 13G Page 2 of 5 - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Barry Siegel and Lisa Siegel - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| (b) |_| - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER 641,263 [Barry Siegel] 67 [Lisa Siegel] -------------------------------------------------------------- NUMBER OF 6 SHARED VOTING POWER SHARES BENEFICIALLY 1,083,332 Barry Siegel and Lisa Siegel Joint Tenants OWNED BY with Right of Survivorship EACH -------------------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH 641,196 [Barry Siegel] 67 [Lisa Siegel] -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 1,083,332 Barry Siegel and Lisa Siegel Joint Tenants with Right of Survivorship - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,924,595 Barry Siegel 1,924,595 Lisa Siegel - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* |_| - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 18.34% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT Item 1(a) Name of Issuer: driversshield.com Corp. Item 1(b) Address of Issuer's Principal Executive Offices: 51 East Bethpage Road Plainview, NY. 11803 Item 2(a) Name of Person Filing: Barry Siegel and Lisa Siegel Item 2(b) Address of Principal Business Office or, if none, Residence: 51 East Bethpage Road Plainview, NY. 11803 Item 2(c) Citizenship: United States of America Item 2(d) Title of Class of Securities: Common Stock par value $.015 per share Item 2(e) CUSIP Number: 262094-10-5 Item 3 If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: (a) |_| Broker or Dealer registered under Section 15 of the Act (b) |_| Bank as defined in section 3(a)(6) of the Act (c) |_| Insurance Company as defined in section 3(a)(19) of the Act (d) |_| Investment Company registered under section 8 of the Investment Company Act (e) |_| Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 (f) |_| Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see ss.240.13d-1(b)(1)(ii)(F) (g) |_| Parent Holding Company, in accordance with ss.240.13d-1(b)(ii)(G) (Note: See Item 7) (h) |_| Group, in accordance with ss.240.13d-1(b)(1)(ii)(H) Item 4(a) Amount Beneficially Owned As of December 31, 2000 1,924,595 shares. [Includes stock options held by Barry Siegel with the right to purchase up to 200,000 shares at $.34375 per share.] Item 4(b) Percent of Class: 18.34% Item 4(c) Number of share as to which such person has: (i) sole power to vote or to direct the vote: 641,263 [Barry Siegel] 67 [Lisa Siegel] (ii) shared power to vote or to direct the vote: 1,083,332 Barry Siegel and Lisa Siegel Joint Tenants with Right of Survivorship (iii) sole power to dispose or to direct the disposition of: 641,196 [Barry Siegel] 67 [Lisa Siegel] (iv) shared power to dispose or to direct the disposition of: 1,083,332 Barry Siegel and Lisa Siegel Joint Tenants with Right of Survivorship Item 5 Ownership of Five Percent or Less of a Class: Inapplicable. Item 6 Ownership of More than Five Percent on Behalf of Another Person. Inapplicable. Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. Inapplicable. Item 8 Identification and Classification of Members of the Group: Inapplicable. Item 9 Notice of Dissolution of Group: Inapplicable. Item 10 Certification: Inapplicable. 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 14, 2001 By: s/ Barry Siegel By: s/Lisa Siegel --------------- ------------- Barry Siegel Lisa Siegel -----END PRIVACY-ENHANCED MESSAGE-----