-----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, LkIRZwBznPxpRWpxHjIiUBcOB73cX3MKXtJ3PPzEyFZfUfIuwXbVoP8l9+9IYu8n ilfMJtOcWSHO10TFJWDM6A== 0000950134-03-014371.txt : 20031104 0000950134-03-014371.hdr.sgml : 20031104 20031104125806 ACCESSION NUMBER: 0000950134-03-014371 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20031104 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DAVIDOWITZ JEFF CENTRAL INDEX KEY: 0000933727 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: LINE & GROVE STREETS STREET 2: PO BOX 87 CITY: NANTICOKE STATE: PA ZIP: 18634 MAIL ADDRESS: STREET 1: LINE & GROVE STREETS STREET 2: PO BOX 87 CITY: NANTICOKE STATE: PA ZIP: 18634 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COLLEGIATE PACIFIC INC CENTRAL INDEX KEY: 0000828747 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 222795073 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-40925 FILM NUMBER: 03975325 BUSINESS ADDRESS: STREET 1: 13950 SEMLAC STREET 2: SUITE 200 CITY: DALLAS STATE: TX ZIP: 75234 BUSINESS PHONE: 9722438100 MAIL ADDRESS: STREET 1: 13950 SEMLAC STREET 2: SUITE 200 CITY: DALLAS STATE: TX ZIP: 75234 FORMER COMPANY: FORMER CONFORMED NAME: DSSI CORP DATE OF NAME CHANGE: 19971031 FORMER COMPANY: FORMER CONFORMED NAME: DRUG SCREENING SYSTEMS INC DATE OF NAME CHANGE: 19920703 SC 13D/A 1 d10184a1sc13dza.txt AMENDMENT NO. 1 TO SCHEDULE 13D SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ---------------------- SCHEDULE 13D (RULE 13D-101) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13D-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13D-2(a) (AMENDMENT NO. 1)(1) COLLEGIATE PACIFIC INC. (NAME OF ISSUER) COMMON STOCK, PAR VALUE $0.01 PER SHARE (TITLE OF CLASS OF SECURITIES) COMMON STOCK PURCHASE WARRANTS (TITLE OF CLASS OF SECURITIES) 194589-10-7 (CUSIP NUMBER) JEFF DAVIDOWITZ LINE AND GROVE STREETS P.O. BOX 87 NANTICOKE, PA 18634 (570) 735-3200 ------------------------------------------ (NAME, ADDRESS AND TELEPHONE OF PERSON AUTHORIZED TO RECEIVE NOTICES AND COMMUNICATIONS) OCTOBER 13, 2003 ---------------- (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT) IF THE FILING PERSON HAS PREVIOUSLY FILED A STATEMENT ON SCHEDULE 13G TO REPORT THE ACQUISITION WHICH IS THE SUBJECT OF THIS SCHEDULE 13D, AND IS FILING THIS SCHEDULE BECAUSE OF RULE 13D-1(e), 13D-1(f) OR 13D-1(g), CHECK THE FOLLOWING BOX / /. - ------------------------ (1) 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 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 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. 194589-10-7 Page 2 of 4 Pages - -------------------------------------------------------------------------------- 1 NAMES OF REPORTING PERSONS. I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY). Jeff Davidowitz - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS (See Instructions) PF - -------------------------------------------------------------------------------- 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF 190,804 SHARES ----------------------------------------------------------------- 8 SHARED VOTING POWER BENEFICIALLY -0- OWNED BY EACH ----------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER REPORTING 190,804 PERSON ----------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER WITH -0- - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 190,804 - -------------------------------------------------------------------------------- 12 CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) [ ] - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 3.3% - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON (See Instructions) IN - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- Cusip No. 194589-10-7 Page 3 of 4 Pages SCHEDULE 13D ITEM 1. SECURITY AND ISSUER. This Amendment No. 1 to Schedule 13D (the "First Amendment") to the Statement on Schedule 13D (the "Schedule 13D") originally filed on January 29, 2001 by Jeff Davidowitz (the "Reporting Person"), relates to the shares of the common stock of Collegiate Pacific Inc., a Delaware corporation ("Collegiate Pacific"), $0.01 par value (the "Common Stock") and common stock purchase warrants. All capitalized terms used and not otherwise defined herein shall have the meanings assigned to those terms in the Schedule 13D. The principal executive offices of Collegiate Pacific are located at 13950 Senlac Drive, Suite 100, Dallas, Texas 75234. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. (a) As of November 4, 2003, Mr. Davidowitz may be deemed to beneficially own an aggregate of 190,804 shares of Common Stock, or approximately 3% of the outstanding shares of Common Stock (based upon Amendment No. 1 to Collegiate Pacific's Annual Report on Form 10-KSB filed on October 28, 2003), and has sole voting and dispositive power with respect to all those shares. Of the shares beneficially owned by Mr. Davidowitz, 11,000 of such shares represent options to acquire shares of Common Stock and 39,502 of such shares represent warrants to acquire shares of Common Stock, none of which have been exercised by Mr. Davidowitz as of the date of this report. The 39,502 common stock purchase warrants held by Mr. Davidowitz represent approximately 1% of the 2,920,003 outstanding common stock purchase warrants. Of the shares of Common Stock and common stock purchase warrants held by Mr. Davidowitz, (i) 34,751 shares and 34,751 shares issuable upon exercise of a common stock purchase warrant are held by a Trust for which Mr. Davidowitz serves as a trustee, (ii) 67,551 shares and 3,751 shares issuable upon exercise of a common stock purchase warrant are held by JIBS Equities of which Mr. Davidowitz is a general partner, (iii) 9,000 shares are held by Penn Footwear, Inc. of which Mr. Davidowitz is President and a shareholder, (iv) 4,000 shares are held by Oldfield Company of which Mr. Davidowitz is President and a shareholder, (v) 10,000 shares are held by DVD Partners of which Mr. Davidowitz is a general partner, and (vi) 10,000 shares are held by 3D Partners of which Mr. Davidowitz is general partner. (c) The following table sets forth certain information concerning transactions involving the Warrants affected by the Reporting Person during the past 60 days. No transactions involving the Common Stock were effected by Mr. Davidowitz during the past 60 days. Each of the sale transactions listed below was affected through a broker at then current market prices:
NUMBER OF SHARES OF DATE OF COMMON STOCK OR TRANSACTION WARRANTS TRANSACTION PRICE - --------------------- --------------------------- ------------------------ ---------------------- 10/13/03 112,800 Warrants Sale $2.50
Cusip No. 194589-10-7 Page 4 of 4 Pages SIGNATURES After reasonable inquiry and to the best of its knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: November 4, 2003 /s/ Jeff Davidowitz ---------------------------------- Jeff Davidowitz -----END PRIVACY-ENHANCED MESSAGE-----