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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No._____)*
Workflow Management, Inc.
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(Name of Issuer)
Common
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(Title of Class of Securities)
98137N10
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(CUSIP Number)
4/12/99
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[_] Rule 13d-1(b)
[X] Rule 13d-1(c)
[_] 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 the
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).
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB control number.
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CUSIP NO. 98137N10
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NAMES OF REPORTING PERSONS.
1 I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY).
Thomas B. D'Agostino, Sr.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
2 (a) [_]
(b) [_]
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SEC USE ONLY
3
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CITIZENSHIP OR PLACE OF ORGANIZATION
4
U.S.A.
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SOLE VOTING POWER
5
NUMBER OF
1,430,559
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
OWNED BY 0
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EACH SOLE DISPOSITIVE POWER
7
REPORTING
1,430,559
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
0
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
1,430,559
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
10 (SEE INSTRUCTIONS)
N/A
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
11
10.19%
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
12
IN
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Item 1
(a) Name of Issuer
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Workflow Management, Inc.
(b) Address of Issuer's Principal Executive Offices
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240 Royal Palm Way
Palm Beach, FL 33480
Item 2
(a) Name of Person Filing
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Thomas B. D'Agostino, Sr.
(b) Address of Principal Business Office or, if None, Residence
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240 Royal Palm Way
Palm Beach, Fl 33480
(c) Citizenship
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United States
(d) Title of Class of Securities
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Common
(e) CUSIP No.
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98137N10
Item 3. If this Statement Is Filed Pursuant to (S)(S)240.13d-1(b) or
240.13d-2(b) or (c), Check Whether the Person Filing is a: N/A
(a) [_] Broker or Dealer registered under Section 15 of the Act
(15 U.S.C. 78o).
(b) [_] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
(c) [_] Insurance company as defined in section 3(a)(19) of the Act
(15 U.S.C. 78c).
(d) [_] Investment company registered under section 8 of the Investment
Company Act of 1940 (15 U.S.C. 80a-8).
(e) [_] Investment adviser in accordance with
(S)240.13d-1(b)(1)(ii)(E);
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(f) [_] Employee benefit plan or endowment fund in accordance with
(S)240.13d-1(b)(1)(ii)(F);
(g) [_] Parent holding company or control person in accordance with
(S)240.13d-1(b)(1)(ii)(G);
(h) [_] A savings associations as defined in Section 3(b) of the Federal
Deposit Insurance Act (12 U.S.C. 1813);
(i) [_] A church plan that is excluded from the definition of an
investment company under section 3(c)(14) of the Investment
Company Act of 1940 (15 U.S.C. 80a-3);
(j) [_] Group, in accordance with (S)240.13d-1(b)(1)(ii)(J).
Item 4 Ownership
(a) Amount Beneficially Owned:
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1,430,559
(b) Percent of class:
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10.19
(c) Number of shares as to which such person has:
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(i) Sole power to vote or to direct the vote:
1,430,559
(ii) Shared power to vote or to direct the vote:
0
(iii) Sole power to dispose or to direct the disposition of:
1,430,559
(iv) Shared power to dispose or to direct the disposition of:
0
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 [_].
Instruction: Dissolution of a group requires a response to this item.
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Item 6 Ownership of More than Five Percent on Behalf of Another Person
N/A
Item 7 Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on By the Parent Holding Company
N/A
Item 8 Identification and Classification of Members of the Group
N/A
Item 9 Notice of Dissolution of Group
N/A
Item 10 Certification
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired in the ordinary
course of business and were not acquired and are not held for the
purposes of and do not have the effect of changing or influencing the
control of the issuer of such securities and were not acquired with or
as a participant in any transaction having such purposes or effect.
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.
April 18, 2000
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Date
/s/ Thomas B. D'Agostino, Sr.
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Signature
Thomas B. D'Agostino, Sr., Shareholder
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Name/Title
ATTENTION: Intentional misstatements or omissions of fact constitute Federal
criminal violations (See 18 U.S.C. 1001).
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