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Hilliard Wallace J – ‘SC 13G/A’ on 6/13/02 re: Federated National Holding Co

On:  Thursday, 6/13/02, at 2:24pm ET   ·   Accession #:  1116502-2-842   ·   File #:  5-55363

Previous ‘SC 13G’:  ‘SC 13G/A’ on 5/28/02   ·   Latest ‘SC 13G’:  This Filing

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 6/13/02  Hilliard Wallace J                SC 13G/A               1:8K   Federated National Holding Co     Issuer Section 16/FA

Amendment to Statement of Beneficial Ownership   —   Schedule 13G
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: SC 13G/A    Amendment #5 to Schedule 13G                           5     18K 


Document Table of Contents

Page (sequential) | (alphabetic) Top
 
11st Page   -   Filing Submission
3Item 1(a). Name of Issuer:
"Item 1(b). Address of Issuer's Principal Executive Offices:
"Item 2(a). Name of Person Filing:
"Item 2(b). Address of Principal Business Office, or if None, Residence:
"Item 2(c). Citizenship:
"Item 2(d). Title of Class of Securities:
"Item 2(e). CUSIP Number:
"Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:
4Item 4. Ownership
"Item 5. Ownership of Five Percent or Less of a Class
"Item 6. Ownership of More Than Five Percent on Behalf of Another Person
"Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person
"Item 8. Identification and Classification of Members of the Group
"Item 9. Notice of Dissolution of Group
"Item 10. Certifications
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G (Amendment No. 5) Under the Securities and Exchange Act of 1934 21st Century Holding Company -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 Par Value -------------------------------------------------------------------------------- (Title of Class of Securities) 90136Q100 -------------------------------------------------------------------------------- (CUSIP Number)
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CUSIP No. 90136Q100 13G Page 2 of 5 Pages ________________________________________________________________________________ 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Wallace J. Hilliard ________________________________________________________________________________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] ________________________________________________________________________________ 3. SEC USE ONLY ________________________________________________________________________________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. ________________________________________________________________________________ NUMBER OF 5. SOLE VOTING POWER SHARES 0 _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 116,630 (1) _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 0 _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER WITH 116,630 (1) ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 116,630 (1) ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 3.9% (2) ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON* IN ________________________________________________________________________________ *SEE INSTRUCTIONS BEFORE FILLING OUT! --------------------- 1 Represents 116,630 shares of Common Stock held by the Hilliard Flint Trust. 2 Calculated on the basis of 3,015,501 shares of Common Stock outstanding on May 30, 2002.
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CUSIP No. 90136Q100 13G Page 3 of 5 Pages Item 1(a). Name of Issuer: 21st Century Holding Company ____________________________________________________________________ Item 1(b). Address of Issuer's Principal Executive Offices: 4161 NW 5th Street Plantation, FL 33317 ____________________________________________________________________ Item 2(a). Name of Person Filing: Wallace J. Hillard ____________________________________________________________________ Item 2(b). Address of Principal Business Office, or if None, Residence: 2610 Bulrush Lane Naples, FL 34105 ____________________________________________________________________ Item 2(c). Citizenship: U.S.A. ____________________________________________________________________ Item 2(d). Title of Class of Securities: Common Stock, $.01 Par Value ____________________________________________________________________ Item 2(e). CUSIP Number: 90136Q100 ____________________________________________________________________ Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: Not applicable.
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CUSIP No. 90136Q100 13G Page 4 of 5 Pages Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 116,630 (1) ______________________________________________________________________ (b) Percent of class: 3.9% (2) ______________________________________________________________________ (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 0 (ii) Shared power to vote or to direct the vote 116,630 (iii) Sole power to dispose or to direct the disposition of 0 (iv) Shared power to dispose or to direct the disposition of 116,630 Item 5. Ownership of Five Percent or Less of a Class. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities check the following [X]. _______________________________________________________________________ Item 6. Ownership of More Than Five Percent on Behalf of Another Person. Not applicable. _______________________________________________________________________ Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. Not applicable. _______________________________________________________________________ Item 8. Identification and Classification of Members of the Group. Not applicable. _______________________________________________________________________ Item 9. Notice of Dissolution of Group. Not applicable. ______________________________________________________________________ Item 10. Certifications. Not applicable. --------------------- 1 Represents 116,630 shares of Common Stock held by the Hilliard Flint Trust. 2 Calculated on the basis of 3,015,501 shares of Common Stock outstanding on May 30, 2002.
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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. Dated: June 5, 2002 /s/ Daniel Hilliard, Trustee for Wallace J. Hilliard Flint Trust ------------------------------------------- Wallace J. Hilliard

Dates Referenced Herein

Referenced-On Page
This ‘SC 13G/A’ Filing    Date First  Last      Other Filings
Filed on:6/13/02None on these Dates
6/5/025
5/30/0224
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Filing Submission 0001116502-02-000842   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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