-----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, IvJ3q9h27hB9nvsXWK1Jugo+2lN9gyQqb1Yh0TT+BMrK7TPcflfD6EmyYlWWSM8i eclytLYQH943MvUPMLBtdQ== 0000914317-04-000515.txt : 20040205 0000914317-04-000515.hdr.sgml : 20040205 20040205142629 ACCESSION NUMBER: 0000914317-04-000515 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL JOEL D CENTRAL INDEX KEY: 0001204512 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13781 FILM NUMBER: 04569706 BUSINESS ADDRESS: STREET 1: KCS ENERGY INC STREET 2: 5555 SAN FELIPE SUITE 1200 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7138778006 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KCS ENERGY INC CENTRAL INDEX KEY: 0000832820 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 222889587 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5555 SAN FELIPE ROAD CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 9086321770 FORMER COMPANY: FORMER CONFORMED NAME: KCS GROUP INC DATE OF NAME CHANGE: 19920310 5 1 form5-siegel_ex.xml X0201 5 2003-12-31 0 0 1 0000832820 KCS ENERGY INC KCS 0001204512 SIEGEL JOEL D KCS ENERGY INC 5555 SAN FELIPE SUITE 1200 HOUSTON TX 77056 1 0 0 0 KCS Energy, Inc. Common Stock 2003-09-30 4 C 0 66666 3.00 A 236743 D KCS Energy, Inc. Common Stock 16000 I see footnote KCS Energy, Inc. Series A Convertible Preferred Stock 3.00 2003-09-30 4 C 0 200 0 D 2001-02-20 2003-10-15 KCS Energy, Inc. Common Stock 66666 0 D The reporting person converted 200 shares of Series A Convertible Preferred Stock (stated value $1,000 per share), resulting in the acquisition of 66,666 shares of common stock at a conversion price of $3.00 per share of common stock. By self as co-trustee established for the benefit of Mr. Siegel's daughters. Mr Siegel disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that Mr. Siegel is the beneficial owner of the shares for purposes of Section 16 or any other purpose. /s/ Frederick Dwyer, Power of Attorney for Joel D. Siegel 2004-02-05 -----END PRIVACY-ENHANCED MESSAGE-----