SEC Info - Weiss Jeffrey - ‘3’ for 1/27/05 re: DFC Global Corp.

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Weiss Jeffrey

(Last)

(First)

(Middle)

DOLLAR FINANCIAL CORP.

1436 LANCASTER AVE.

(Street)

BERWYN

19312

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
1/27/05

3. Issuer Name and Ticker or Trading Symbol
DOLLAR FINANCIAL CORP [ DLLR ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Chairman

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. 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 (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common stock, par value $.001 per share	1,697,740 ⁽¹⁾	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)

Explanation of Responses:

(1) Prior to consummation of the Issuer's initial public offering of its common stock, the common stock will undergo a 555-for-1 split. The amount of securities beneficially owned by the Reporting Person reported on this Form 3 reflects the number of shares of common stock that the Reporting Person will beneficially own upon consummation of the stock split.

Remarks:

	Bill Athas, Attorney in Fact	1/26/05
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

Weiss Jeffrey – ‘3’ for 1/27/05 re: DFC Global Corp.

On: Thursday, 1/27/05, at 1:20pm ET · For: 1/27/05 · As: Director and Officer · Accession #: 1298488-5-2 · File #: 0-50866

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents

‘3’ — Initial Statement of Beneficial Ownership of Securities by an Insider — edgar.xml/2.2

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Weiss Jeffrey – ‘3’ for 1/27/05 re: DFC Global Corp.

On: Thursday, 1/27/05, at 1:20pm ET · For: 1/27/05 · As: Director and Officer · Accession #: 1298488-5-2 · File #: 0-50866

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34Filing Table of Contents

‘3’ — Initial Statement of Beneficial Ownership of Securities by an Insider — edgar.xml/2.2

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents