================================================================================
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
-------------------
SCHEDULE 13D
Under the Securities Exchange Act of 1934
-------------
(Amendment No. 4)
Allcity Insurance Company
- --------------------------------------------------------------------------
(Name of Issuer)
Common Shares, $1 par value 016752107
- ----------------------------------- -----------------------------------
(Title of class of securities) (CUSIP number)
Stephen E. Jacobs, Esq.
Weil, Gotshal & Manges
767 Fifth Avenue
New York, NY 10153
(212) 310-8000
- --------------------------------------------------------------------------
(Name, address and telephone number of person authorized to receive
notices and communications)
October 6, 1999
- --------------------------------------------------------------------------
(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(b)(3) or (4), check the
following box [_].
Check the following box if a fee is being paid with the statement [_].
(A fee is not required only if the reporting person: (1) has a previous
statement on file reporting beneficial ownership of more than five percent
of the class of securities described in Item 1; and (2) has filed no
amendment subsequent thereto reporting beneficial ownership of five
percent or less of such class.) (See Rule 13d-7.)
Note: When filing this statement in paper format, six copies of this
statement, including exhibits, should be filed with the Commission. See
Rule 13d-1(a) for other parties to whom copies are to be sent.
================================================================================
NY2:\867109\01\$L2D01!.DOC\76830.0146
<PAGE>
<TABLE>
<CAPTION>
- ---------------------------------------------------------------------------------- ----------------------------------
CUSIP No. 016752107 13D
- ---------------------------------------------------------------------------------- ----------------------------------
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
<S> <C>
1 NAME OF REPORTING PERSON: LEUCADIA NATIONAL CORPORATION
S.S. OR I.R.S. IDENTIFICATION NO.
OF ABOVE PERSON:
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (A) [X]
(B) [_]
- ---------------------- -------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ---------------------- ------------------------------------- -----------------------------------------------------------------------
4 SOURCE OF FUNDS: N/A
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e): [_]
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION: NEW YORK
- ----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 6,437,808
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,437,808
- ---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 6,437,808
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 90.9%
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
2
<PAGE>
- ---------------------------------------------------------------------------------- ----------------------------------
CUSIP No. 016752107 13D
- ---------------------------------------------------------------------------------- ----------------------------------
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
1 NAME OF REPORTING PERSON: PHLCORP, INC.
S.S. OR I.R.S. IDENTIFICATION NO.
OF ABOVE PERSON:
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (A) [X]
(B) [_]
- ---------------------- -------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ---------------------- ------------------------------------- -----------------------------------------------------------------------
4 SOURCE OF FUNDS: N/A
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e): [_]
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION: PENNSYLVANIA
- ----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 6,437,808
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,437,808
- ---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 6,437,808
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 90.9%
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
3
<PAGE>
- ---------------------------------------------------------------------------------- ----------------------------------
CUSIP No. 016752107 13D
- ---------------------------------------------------------------------------------- ----------------------------------
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
1 NAME OF REPORTING PERSON: 330 MAD. PARENT CORP.
S.S. OR I.R.S. IDENTIFICATION NO.
OF ABOVE PERSON:
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (A) [X]
(B) [_]
- ---------------------- -------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ---------------------- ------------------------------------- -----------------------------------------------------------------------
4 SOURCE OF FUNDS: N/A
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e): [_]
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION: DELAWARE
- ----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 6,437,808
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,437,808
- ---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 6,437,808
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 90.9%
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
4
<PAGE>
- ---------------------------------------------------------------------------------- ----------------------------------
CUSIP No. 016752107 13D
- ---------------------------------------------------------------------------------- ----------------------------------
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
1 NAME OF REPORTING PERSON: BALDWIN ENTERPRISES, INC.
S.S. OR I.R.S. IDENTIFICATION NO.
OF ABOVE PERSON:
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (A) [X]
(B) [_]
- ---------------------- -------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ---------------------- ------------------------------------- -----------------------------------------------------------------------
4 SOURCE OF FUNDS: WC
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e): [_]
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION: COLORADO
- ----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 450,407
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 450,407
- ---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 450,407
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 6.4%
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
5
<PAGE>
- ---------------------------------------------------------------------------------- ----------------------------------
CUSIP No. 016752107 13D
- ---------------------------------------------------------------------------------- ----------------------------------
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
1 NAME OF REPORTING PERSON: BELLPET, INC.
S.S. OR I.R.S. IDENTIFICATION NO.
OF ABOVE PERSON:
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (A) [X]
(B) [_]
- ---------------------- -------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ---------------------- ------------------------------------- -----------------------------------------------------------------------
4 SOURCE OF FUNDS: N/A
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e): [_]
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION: DELAWARE
- ----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 5,987,401
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 5,987,401
- ---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 5,987,401
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 84.6%
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6
<PAGE>
- ---------------------------------------------------------------------------------- ----------------------------------
CUSIP No. 016752107 13D
- ---------------------------------------------------------------------------------- ----------------------------------
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
1 NAME OF REPORTING PERSON: EMPIRE INSURANCE COMPANY
S.S. OR I.R.S. IDENTIFICATION NO.
OF ABOVE PERSON:
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (A) [X]
(B) [_]
- ---------------------- -------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ---------------------- ------------------------------------- -----------------------------------------------------------------------
4 SOURCE OF FUNDS: N/A
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e): [_]
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION: NEW YORK
- ----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 5,987,401
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 5,987,401
- ---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 5,987,401
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
- ---------------------- --------------------------------------------------------------------------------------------- ---------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 84.6%
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
- ---------------------- ----------------------------------------------------------- -------------------------------------------------
</TABLE>
7
<PAGE>
This Statement constitutes Amendment No. 4 to the Statement on Schedule 13D (the
"Schedule 13D") filed with the Securities and Exchange Commission by Leucadia
National Corporation ("Leucadia") and its subsidiaries, Phlcorp, Inc.
("Phlcorp"), 330 MAD. PARENT CORP. ("330 Mad. Parent"), Baldwin Enterprises,
Inc. ("BEI"), BELLPET, Inc. ("Bellpet") and Empire Insurance Company ("Empire")
(collectively, the "Controlling Entities"). The Sperry & Hutchinson Company,
Inc., which was formerly a subsidiary of Leucadia, is no longer a Controlling
Entity.
Item 1. Security and Issuer.
-------------------
This Statement relates to the common stock, par value $1.00 (the
"Common Stock"), of Allcity Insurance Company (the "Company"). The address of
the principal executive office of the Company is 335 Adams Street, Brooklyn, New
York 11201. This Scheduled 13D is being filed by the Controlling Entities.
Item 2. Identity and Background.
-----------------------
(a) - (c) Empire is a New York corporation. The address of its
principal office is 335 Adams Street, Brooklyn, New York 11201. Empire's
principal business is propery and casualty insurance. All of the outstanding
common shares of Empire are owned indirectly by Leucadia through subsidiaries.
Bellpet is a Delaware corporation. The address of its principal
office is 529 East South Temple, Salt Lake City, Utah 84102. Bellpet is engaged
in making investments for its own account. All of Bellpet's outstanding shares
of common stock are owned by BEI.
BEI is a Colorado corporation. The address of its principal office is
529 East South Temple, Salt Lake City, Utah 84102. BEI is engaged in making
investments for its own account. All of BEI's outstanding shares of common stock
are owned by 330 Mad. Parent.
330 Mad. Parent is a Delaware corporation. The address of its
principal office is 529 East South Temple, Salt Lake City, Utah 84102. Bellpet
is engaged in making investments for its own account. All of 330 Mad. Parent's
outstanding shares of common stock are owned by Phlcorp.
Phlcorp is a Pennsylvania corporation. The address of its principal
office is Two Plaza East, Suite 1280, 303 East Kilbourne Avenue, Milwaukee,
Wisconsin 53202. Phlcorp is a holding company for subsidiaries primarily engaged
in the insurance business. All of Phlcorp's outstanding shares of common stock
are owned by Leucadia.
Leucadia is a New York corporation. The address of its principal
office is 315 Park Avenue South, New York, New York 10010. Leucadia is a diverse
financial services company principally engaged in personal and commercial lines
of property and casualty insurance, banking and lending, manufacturing and real
estate activities.
Approximately 31.5% of the outstanding common shares of Leucadia is
beneficially owned (directly and through family members) by Ian M. Cumming,
8
<PAGE>
Chairman of the Board of Directors of Leucadia, and by Joseph S. Steinberg, a
director and President of Leucadia (excluding 1.8% of the common shares of
Leucadia beneficially owned by two trusts for the benefit of Mr. Steinberg's
minor children, as to which Mr. Steinberg disclaims beneficial ownership).
Private charitable foundations independently established by each of Messrs.
Cumming and Steinberg beneficially own approximately .2% and less than .1%,
respectively, of the outstanding common shares of Leucadia. Mr. Cumming and Mr.
Steinberg each disclaim beneficial ownership of the common shares of Leucadia
held by their respective private charitable foundation.
The following information with respect to each executive officer and
director of the Controlling Entities is set forth in Appendix A to the Schedule
13D previously filed: (i) name, (ii) business address, (iii) principal
occupation or employment and (iv) name of any corporation or other organization
in which such employment is conducted, together with the principal business and
address of any such corporation or organization other than the Controlling
Entities for which such information is set forth above.
(d) - (f) During the last five years, none of the Controlling
Entities and, to their knowledge, none of the other persons identified pursuant
to Paragraphs (a) through (c) of this Item 2, has been convicted in a criminal
proceeding (excluding traffic violations or similar misdemeanors) or was a party
to a civil proceeding of a judicial or administrative body of competent
jurisdiction as a result of which such person was or is subject to a judgment,
decree or final order enjoining future violations of , or prohibiting or
mandating activities subject to, federal or state securities laws or finding any
violation with respect to such laws. To the knowledge of the Controlling
Entities, each of the individuals identified pursuant to Paragraphs (a) through
(c) is a United States citizen.
Item 3. Source and Amount of Funds or Other Considerations.
--------------------------------------------------
The total amount amount of funds used by BEI to purchase
the 81,800 shares of Common Stock acquired by its from the date of Amendment No.
3 to the Schedule 13D to the date of this Amendment No. 4 was approximately
$564,642.50 (including brokerage commissions). The purchase price for such
shares of Common Stock was derived from BEI's working capital.
Item 5. Interest in Securities of the Issuer.
------------------------------------
(a) - (b) As of January 12, 2000, the Controlling Entities
beneficially owned the following shares of Common Stock:
(i) Empire is the direct owner of 5,987,401 shares of
Common Stock. The 5,987,401 shares represent
approximately 84.6% of the 7,078,625 outstanding
shares of Common Stock.
(ii) By virtue of its ownership of certain of the shares
of common stock of Empire, Bellpet is, for the
purposes of this Schedule 13D, a beneficial owner of
all of the shares of Common Stock beneficially owned
by Empire.
9
<PAGE>
(iii) BEI is the direct owner of 450,407 shares of Common
Stock. The 450,407 shares represent approximately
6.4% of the 7,078,625 outstanding shares of Common
Stock. By virtue its ownership of all of the common
stock of Bellpet, BEI is for purposes of this
Schedule 13D, a beneficial owner of all of the shares
of Common Stock beneficially owned by Bellpet.
(iv) By virtue its ownership of all of the outstanding
shares of BEI, 330 Mad. Parent is, for the purposes
of this Schedule 13D, a beneficial owner of all of
the shares of Common Stock beneficially owned by BEI.
(v) By virtue its ownership of all of the outstanding
shares of , 330 Mad. Parent, Phlcorp is, for the
purposes of this Schedule 13D, a beneficial owner of
all of the shares of Common Stock beneficially owned
by 330 Mad. Parent.
(vi) By virtue its ownership of all of the outstanding
shares of Phlcorp, Leucadia is, for the purposes of
this Schedule 13D, a beneficial owner of all of the
shares of Common Stock beneficially owned by Phlcorp.
(c) On January 11, 2000, BEI purchased 6,900 shares of
Common Stock in the open market at $6.6875 per share (including brokerage
commissions). On January 12, 2000, BEI purchased 2,700 shares of Common Stock in
the open market at $5.9375 per share (including brokerage commissions). Except
as set forth in this paragraph (c), none of the Controlling Entities has
effected any transactions in shares of Common Stock during the past sixty days.
(d) Not applicable.
(e) Not applicable.
10
<PAGE>
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: January 13, 2000
LEUCADIA NATIONAL CORPORATION
By: /s/ Barbara L. Lowenthal
-------------------------------
Barbara L. Lowenthal
Vice President
11
<PAGE>
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: January 13, 2000
PHLCORP, INC.
By: /s/ Joseph A. Orlando
---------------------------
Joseph A. Orlando
Vice President
12
<PAGE>
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: January 13, 2000
330 MAD. PARENT CORP.
By: /s/ Corrine Maki
-------------------------
Corrine Maki
Vice President
13
<PAGE>
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: January 13, 2000
BALDWIN ENTERPRISES, INC.
By: /s/ Joseph A. Orlando
-----------------------------
Joseph A. Orlando
Vice President
14
<PAGE>
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: January 13, 2000
BELLPET, INC.
By: /s/ Corrine Maki
----------------------------
Corrine Maki
Vice President
15
<PAGE>
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: January 13, 2000
EMPIRE INSURANCE COMPANY
By: /s/ John Petrowski
------------------------
John Petrowski
Vice President
16
