SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
AMENDMENT NO. 17
SCHEDULE l3D
Under the Securities Exchange Act of l934
AMERICAN HERITAGE LIFE INVESTMENT CORPORATION
- --------------------------------------------------------------------------------
(Name of Issuer)
Shares of Common Stock, Par Value $l.00 Per Share
- --------------------------------------------------------------------------------
(Title of Class of Securities)
026522 l0 2
- --------------------------------------------------------------------------------
(CUSIP NUMBER)
H. J. Skelton
P. O. Box 19366
Jacksonville, Florida 32245-9366
(904) 223-4700
- --------------------------------------------------------------------------------
(Name, Address and Telephone Number of Persons
Authorized to Receive Notices and Communications)
December 27, 1996
- --------------------------------------------------------------------------------
(Date of Event Which Requires Filing of This Statement)
If the filing person has previously filed a Statement on Schedule l3G
to report the acquisition which is the subject of this Statement and is filing
this Statement because of Rule l3d-1(b) (3) or (4), check the following box:( )
Check the following box if a fee is being paid with this Statement: ( )
1
<PAGE>
CUSIP NO. 026522 10 2 13D
-----------
- --------------------------------------------------------------------------------
1. NAME OF REPORTING PERSON
ROBERT D. DAVIS
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
PF-AF-00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
Florida - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
l3,722 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
5,422,437 Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
13,722 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
5,422,437 Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,436,159 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.35%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
IN
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
2
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
- --------------------------------------------------------------------------------
1. NAME OF REPORTING PERSON
T. WAYNE DAVIS
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
4l7-62-4836
- --------------------------------------------------------------------------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: a( x )
b( )
- --------------------------------------------------------------------------------
3. SEC USE ONLY
- --------------------------------------------------------------------------------
4. SOURCE OF FUNDS
PF-AF-00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
Florida - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
l0,332 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
5,440,232 Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
10,332 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
5,440,232 Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,450,554 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.46%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
IN
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
3
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
- --------------------------------------------------------------------------------
1. NAME OF REPORTING PERSON
A. DANO DAVIS
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
PF-AF-00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
Florida - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
96,430 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
5,496,089 Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
96,430 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
5,496,089 Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,592,519 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
40.49%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
IN
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
4
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
1. NAME OF REPORTING PERSON
CHARLES P. STEPHENS
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
254-l9-3609
- --------------------------------------------------------------------------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: a( x )
b( )
- --------------------------------------------------------------------------------
3. SEC USE ONLY
- --------------------------------------------------------------------------------
4. SOURCE OF FUNDS
PF-AF-00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
Florida - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
l,3l5 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
5,433,495 Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
l,3l5 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
5,433,495 Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,434,810 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.34%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
IN
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
5
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
1. NAME OF REPORTING PERSON
D.D.I., INC.
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
59-2448386
- --------------------------------------------------------------------------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: a( x )
b( )
- --------------------------------------------------------------------------------
3. SEC USE ONLY
- --------------------------------------------------------------------------------
4. SOURCE OF FUNDS
BK-AF-WC-00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
Florida - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
5,398,589 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
-0- Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
5,398,589 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
-0- Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,398,589 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.08%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
CO
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
6
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
1. NAME OF REPORTING PERSON
SIVAD INVESTORS, L.L.C.
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
76-0485018
- --------------------------------------------------------------------------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: a( x )
b( )
- --------------------------------------------------------------------------------
3. SEC USE ONLY
- --------------------------------------------------------------------------------
4. SOURCE OF FUNDS
00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
TEXAS - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
5,398,589 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
-0- Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
5,398,589 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
-0- Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,398,589 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.08%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
00
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
7
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
1. NAME OF REPORTING PERSON
AHLI, LTD.
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
76-0519078
- --------------------------------------------------------------------------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: a( x )
b( )
- --------------------------------------------------------------------------------
3. SEC USE ONLY
- --------------------------------------------------------------------------------
4. SOURCE OF FUNDS
00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
TEXAS - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
5,398,589 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
-0- Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
5,398,589 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
-0- Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,398,589 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.08%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
PN
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
8
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
1. NAME OF REPORTING PERSON
DAVIS FAMILY SPECIAL TRUST
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
59-7086289
- --------------------------------------------------------------------------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: a( x )
b( )
- --------------------------------------------------------------------------------
3. SEC USE ONLY
- --------------------------------------------------------------------------------
4. SOURCE OF FUNDS
00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
GEORGIA - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
5,398,589 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
-0- Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
5,398,589 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
-0- Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,398,589 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.08%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
OO
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
9
<PAGE>
CUSIP NO. 026522 l0 2 l3D
-----------
1. NAME OF REPORTING PERSON
WILLIAM M. RICH
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
00
- --------------------------------------------------------------------------------
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS
REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ( )
None
- --------------------------------------------------------------------------------
6. CITIZENSHIP OR PLACE OF ORGANIZATION
GEORGIA - U.S.A.
- --------------------------------------------------------------------------------
Number of 7. SOLE VOTING POWER
5,398,589 Shares**
Shares _________________________
Beneficially owned 8. SHARED VOTING POWER
-0- Shares**
by Each Reporting _________________________
Person 9. SOLE DISPOSITIVE POWER
5,398,589 Shares**
With _________________________
l0. SHARED DISPOSITIVE POWER
-0- Shares**
- --------------------------------------------------------------------------------
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,398,589 Shares**
- --------------------------------------------------------------------------------
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES SHARES
( )
- --------------------------------------------------------------------------------
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
39.08%
- --------------------------------------------------------------------------------
14. TYPE OF REPORTING PERSON
IN
- --------------------------------------------------------------------------------
** See Item 5 to the Schedule l3D attached hereto.
10
<PAGE>
This Amendment No. l7 to Schedule l3D dated December 27, 1996, hereby
amends the following items of the Schedule l3D dated August 7, l98l, as amended
by Amendment No. l thereto dated December 2, l98l, Amendment No. 2 thereto dated
October 3l, l982, Amendment No. 3 thereto dated March 7, l983, Amendment No. 4
thereto dated March 5, l984, Amendment No. 5 thereto dated January 20, l986,
Amendment No. 6 thereto dated December 9, l986, Amendment No. 7 thereto dated
August 3l, l987, Amendment No. 8 thereto dated April 8, l988, Amendment No. 9
thereto dated February l5, l989, Amendment No. 10 thereto dated March 3, l992,
Amendment No. ll thereto dated March ll, l993, Amendment No. l2 thereto dated
September 27, l993, Amendment No. l3 thereto dated June l, l994, Amendment No.
14 thereto dated November 25, 1994, Amendment No. 15 thereto dated June 11,
1995, and Amendment No. 16 thereto dated November 12, 1996,filed with respect to
the Davises.
ITEM l. Security and Issuer.
This Schedule l3D relates to shares of Common Stock, par value $l.00 per
share (the "Shares"), of American Heritage Life Investment Corporation
("AHLIC"), a corporation organized and existing under the laws of the State of
Florida. The address of the principal executive offices of AHLIC is l776
American Heritage Life Drive, Jacksonville, Florida, 32224.
ITEM 2. Identity and Background.
This Schedule 13D is filed jointly as to the following persons, who are
collectively referred to as the "Davises":
(1) Robert D. Davis ("RDD") whose principal business address is 4310 Pablo
Oaks Court, Jacksonville, Florida 32224. RDD's principal occupation is that of
Chairman of the Board of Directors of D.D.I., Inc. and a member of the Board of
Directors of Winn-Dixie Stores, Inc. ("Winn-Dixie").
(2) A. Dano Davis, ("DANO") whose principal business address is 5050
Edgewood Court, Jacksonville, Florida 32254. DANO's principal occupation is that
of Chairman of the Board of Directors of Winn-Dixie.
(3) T. Wayne Davis ("TWD") whose principal business address is l9l0 San
Marco Boulevard, Jacksonville, Florida 32207. TWD's principal occupation is that
of an investor and a member of the Board of Directors of Winn-Dixie.
(4) Charles P. Stephens, ("CPS") whose principal business address is l
Pascall Road, Peachtree City, Georgia 30269. CPS's principal occupation is Vice
President, Director and a principal stockholder of Norman W. Paschall Co., Inc.,
which is a broker, importer, exporter and processor of textile fibers and
by-products, and is a member of the Board of Directors of Winn-Dixie.
(5) D.D.I., Inc. ("DDI") is a corporation, the stock of which is held by
the families ("Davis Families") of four deceased brothers - A. Darius Davis
("ADD"), James E. Davis ("JED"), M. Austin Davis ("MAD") and Tine W. Davis
("Tine"). RDD, DANO and TWD are the sons of ADD, JED and Tine, respectively. CPS
is MAD's daughter's husband.
11
<PAGE>
DDI's principal business is that of a holding company for assets for the
Davis Families. Its principal business address is 4310 Pablo Oaks Court,
Jacksonville, Florida 32224 and its directors and executive officers are as
follows:
Directors: DANO, RDD, TWD, CPS and H. J. Skelton ("HJS")
Executive Officers: RDD Chairman of Board
HJS President & Treasurer
HJS is not a member of the Davis Families and his principal occupation is
President of DDI.
(6) SIVAD Investors, L.L.C. ("SIVAD") is a limited liability corporation
which is 99% owned by DDI. Its principal business is managing limited
partnerships whose partners are entities owned by the Davis Families. SIVAD is
located at c/o Baker & Botts, One Shell Plaza/910 Louisiana, Houston, Texas
77002-4995, and its managers and executive officers are as follows:
Managers: DANO, RDD, HJS, and Harry D. Francis ("HDF")
Executive Officer: HJS, President
HDF is not a member of the Davis Families, and his principal occupation is
Vice President of DDI.
(7) AHLI, Ltd. ("AHLI") is a limited partnership (see Note 1). Its
principal business is holding stock of the issuer for the Davis Families. AHLI
is located at c/o Baker & Botts, One Shell Plaza/910 Louisiana, Houston, Texas
77002-4995 and its sole General Partner is SIVAD.
(8) Davis Family Special Trust's ("DFS Trust") address is 11 Parkside
Court, Atlanta, Georgia. DFS Trust's principal business is holding and
administering securities for the benefit of certain members of the Davis
Families. William M. Rich ("WMR") is the sole trustee of the DFS Trust. WMR's
principal business address is 1201 West Peachtree Street, NE, One Atlantic
Center, Suite 2000, Atlanta, Georgia 30309-3400 and his principal occupation is
the practice of law. WMR is not a member of the Davis Families.
JED was the principal founder in l956 of American Heritage Life Insurance
Company ("AHL") and he, along with other members of his family through
individual shareholdings, trusts, and affiliated corporations and partnerships,
have been the principal shareholders in that company and AHLIC of which AHL
became a wholly owned subsidiary in l968. JED was Chairman of the Board of
Directors of AHL from its founding in l956 to July, l986 and Vice Chairman from
July, l986 until his death on March l9, l993. He was also Chairman of the Board
of Directors of AHLIC from its founding in l968 to February, l990 and Vice
Chairman from February, l990 until his death. RDD is a director and member of
the Executive Committee of AHLIC and AHL. DANO was elected a director of AHLIC
on June 25, l993 and a director of AHL on June 29, l993. None of the other
Davises set forth above hold any managerial positions with AHLIC or its
affiliates.
12
<PAGE>
None of the Davises have, during the past five (5) years, been convicted in
any criminal proceeding nor, have any of them, been a party to a civil
proceeding of a judicial or administrative body of competent jurisdiction which
resulted in subjecting any of the Davises 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. All members of the Davises who are natural persons are citizens of the
United States of America and all members which are corporations, partnerships,
or trusts were organized in, and exist under laws of, the States of Florida,
Texas, or Georgia.
ITEM 3. Source and Amount of Funds or Other Consideration.
The Shares which are the subject of this amended Schedule l3D filing have
been acquired from time to time by the Davises with personal funds, funds of
affiliates, working capital and funds borrowed from banks. For information
concerning the amounts and manner in which the aforesaid Shares are held, see
Item 5 below. None of the total 5,781,158 Shares which are the subject of this
amended Schedule l3D filing were held as collateral for bank loans on December
27, 1996.
ITEM 4. Purpose of Transaction.
This Amendment of Schedule 13D is being filed to report that on December
27, 1996, in connection with the formation of the DFS Trust, certain
shareholders of D.D.I., Inc., and all shareholders of Estuary Corporation
(collectively, the "Grantors") contributed their shares of such corporations'
stock to DFS Trust in exchange for separate shares of beneficial interest in DFS
Trust. Such corporations have direct and/or indirect interests in limited
partnerships which are the registered shareholders of the issuer. As a result of
such contributions of securities by the Grantors, DFS Trust has an indirect
beneficial interest in 5,398,589 (39.08%) of AHLIC's shares.
ITEM 5. Interest in Securities of the Issuer.
The following table shows as to the Davises the total ownership of the
Shares and those Shares as to which each of the Davises has sole voting and
dispositive power and shared voting and dispositive power, representing in the
aggregate 5,781,158 Shares or 4l.85% of the total outstanding Shares of
13,813,525 as of December 27, 1996.
13
<PAGE>
<TABLE>
<CAPTION>
OTHER
FAMILY
SOLE VOTING AND DISPOSITIVE POWER MEMBERS
TOTAL OWNING
NO. DFS TRUST LESS
OWNER SHARES RDD TWD DANO CPS WMR (2) THAN 5%
- ----- ------ --- --- ---- --- ------- -------
<S> <C> <C> <C> <C> <C> <C> <C>
AHLI, LTD. (1) 5,398,589 5,398,589
FND, LTD (3) 38,399 38,399
ADFAM PARTNERS, LTD. (4) 23,848
JAMES E DAVIS - WD
CHARITIES, INC. (5) 19,999
JED'S FAMILY'S TRUSTS (6) 160,859 58,031 25,327
MAD'S FAMILY'S TRUSTS (7) 44,853 9,947
CPS 1,315 1,315
TWD'S FAMILY'S TRUSTS (8) 74,574 10,322 27,609
TINE W. DAVIS - WD
CHARITIES, INC. (9) 5,000
RODA TRUST (10) 13,722 13,722
--------- ------ ------ ------ ----- --------- ------
TOTALS 5,781,158 13,722 10,322 96,430 1,315 5,398,589 62,883
========= ====== ====== ====== ===== ========= ======
(SEE NOTES ON NEXT PAGE)
(a) NOT INCLUDED IN TOTAL SHARES.
<CAPTION>
SHARED VOTING AND
DISPOSITIVE POWER
OWNER OTHER DDI (1) (2)
- ----- ----- -----------
<S> <C> <C>
AHLI, LTD. (1) 5,398,589
FND, LTD (3)
ADFAM PARTNERS, LTD. (4) 23,848
JAMES E DAVIS - WD
CHARITIES, INC. (5) 19,999
JED'S FAMILY'S TRUSTS (6) 77,501
MAD'S FAMILY'S TRUSTS (7) 34,906
CPS
TWD'S FAMILY'S TRUSTS (8) 36,643
TINE W. DAVIS - WD
CHARITIES, INC. (9) 5,000
RODA TRUST (10)
------- ---------
TOTALS 197,897 5,398,589(a)
======= =========
(SEE NOTES ON NEXT PAGE)
(a) NOT INCLUDED IN TOTAL SHARES.
</TABLE>
14
<PAGE>
(1) Limited parntership of which SIVAD is a 1% general partner, DDI is a
76.61% limited partner and Estuary is a 22.39% limited partner. DDI
and Estuary own 99% and 1% of SIVAD, respectively. RDD, TWD, DANO and
CPS are members of the Board of Directors of DDI.
(2) The voting and dispositive power of DDI is as follows:
Voting and Dispositive Power Percentage
---------------------------- ----------
WMR, as sole Trustee of the DFS Trust 89.93%
Members of the Davis Family, none of whom
have voting and dispositive power of
4.00% or more of the outstanding shares
of DDI 10.07%
(3) Limited partnership of which Estuary Corporation, a corporation owned
by the DFS Trust is the general partner and two irrovcable trusts of
which DANO is sole trustee and he and his sister are each sole
beneficiaries and two revocable trusts for the benefit of DANO and his
sister of which DANO is sole or co-trustee, are limited partners. As
to the Shares held by FND, Ltd., DANO has sole voting and dispositive
power through his general partner directorship from which, pursuant to
a shareholders agreement (see Item 6 hereof), he cannot be removed
except by his direction.
(4) Limited partnership of which ADD Trust (see note (11)) is a general
and limited partner. RODA Trust, a revocable trust of which RDD is
sole trustee and beneficiary, is a limited partner and a corporation
of which RODA Trust is a 50% shareholder is a general partner.
(5) Private charitable foundation established by JED for which DANO, his
wife, his mother and his sister share voting and dispositive power for
Shares which it holds. DANO disclaims any beneficial interest in the
Shares held by such foundation.
(6) Trusts for the benefit of DANO, his children, his sister or his
sister's children. Of the 160,859 Shares held by such trusts, 135,532
Shares are held by trusts for which DANO is sole or co-trustee and
25,327 Shares are held by trusts for which DANO's sister is sole
trustee. DANO disclaims any beneficial interest in 58,378 Shares held
by such trusts of which he is a co-trustee and his sister or his
sister's children are beneficiaries.
(7) Trusts of which MAD's widow, children and other descendants are
beneficiaries. CPS' wife is co-trustee for a trust which holds 19,999
Shares and CPS and his wife are co-trustees for trusts which hold
14,907 Shares.
(8) Trusts for which TWD, his mother, his sisters, his children or his
sisters' children are benficiaries. Of the 74,574 Shares held by such
trusts, 10,322 Shares are held by trusts for which TWD is sole
trustee, 36,643 Shares are held by trusts for which TWD is co-trustee
and 27,609 Shares are held by the revocable trust of TWD's mother of
which she is sole trustee. TWD disclaims any beneficial interest in
42,860 Shares which are held by trusts of which he is a trustee and
his sisters, his children or his sisters' children are beneficiaries.
(9) Private charitable foundation established by Tine W. Davis, deceased
father of TWD, for which TWD has shared voting and dispositive power
for Shares which it holds. TWD disclaims any beneficial interest in
Shares held by such foundation.
(10) Revocable trust of which RDD is the sole trustee and beneficiary.
(11) Trust of which RDD became successor trustee to his father, A. Darius
Davis upon the latter's death. RDD resigned as trustee and appointed a
successor but RDD retained authority to replace his successor at his
discretion. RDD is also among the beneficiaries of the Trust which is
included in the estate of A. Darius Davis.
15
<PAGE>
The following table shows the date of purchases of shares during the last
sixty days (60) by the Davises and their affiliates, the number of shares
purchased and the costs thereof, all of which purchases, except as indicated,
having been made in the open market:
Purchased by Date No. of Shares Cost
------------ ---- ------------- ----
None.
16
<PAGE>
ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR
RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER.
The shareholders of DDI and Estuary have entered into shareholder
agreements with respect to their Shares held in each of these corporations,
copies of which agreements are Exhibits 2 and 4, respectively, of Amendment No.
ll to Schedule l3D, which Exhibits are incorporated herein by reference. The
descriptions below of such agreements are modified by and subject to the
provisions of the respective agreements.
In substance these agreements prohibit the transfer of the stock of DDI
and Estuary by the shareholders of these corporations to anyone other than a
"Permitted Shareholder" as defined in the particular agreement. In the case of
DDI, the "Permitted Shareholders" include (l) existing shareholders, (2) any
lineal descendant of ADD, JED, MAD or Tine, (3) trusts, the majority of whose
interest is for the benefit of a Permitted Shareholder, (4) corporations and
partnerships, the majority interest of which is owned by a Permitted Shareholder
and (5) private foundations to which a Permitted Shareholder is a substantial
contributor. In the case of Estuary, the Permitted Shareholders include (l)
existing shareholders, (2) the lineal descendants of JED and (3) any trusts,
corporations, partnerships or foundations similar to those described in phrases
(3), (4) and (5) of the previous sentence.
In addition each of these agreements requires that the Shares of the
respective corporations be voted for the election to the Board of Directors of
certain designated persons or their successors as designated by the surviving or
remaining designated persons. In the case of DDI, the board of directors shall
consist of up to eight members, three of which shall be ADD, JED and MAD and
four of which shall consist of a lineal descendant of each of ADD, JED, MAD and
Tine or a spouse of each such lineal descendant. ADD, JED and MAD have all
deceased. In the case of Estuary, the board of directors shall consist of ADD,
JED, DANO and RDD (the Original Directors) or successors designated by the
Original Directors plus any Additional Directors unanimously nominated by the
Original Directors who shall be elected by the shareholders of the corporation.
No successor has been designated for ADD or JED.
ITEM 7. Material to be Filed as Exhibits
(24) Power of Attorney granting authority for H. J. Skelton to sign reports
filed with the Securities and Exchange Commission on behalf of William M. Rich,
individually and as Trustee of the DFS Trust.
17
<PAGE>
After reasonable inquiry and to the best of knowledge and belief of the
undersigned, the undersigned certifies that the information set forth in this
statement is true, correct and complete.
DATED: January 6, 1997
ROBERT D. DAVIS *
-----------------------
Robert D. Davis
T. WAYNE DAVIS *
-----------------------
T. Wayne Davis
A. DANO DAVIS *
-----------------------
A. Dano Davis
CHARLES P. STEPHENS *
-----------------------
Charles P. Stephens
/s/ H. J. Skelton
-----------------------
D.D.I., Inc.
H. J. Skelton, President
/s/ H. J. Skelton
-----------------------
SIVAD Investors, L.L.C.
H. J. Skelton, President
AHLI, Ltd.
By: SIVAD Investors, L.L.C.
General Partner
By: /s/ H. J. Skelton
-----------------------
H. J. Skelton, President
*/s/ H. J. Skelton
-----------------------
H. J. Skelton
Attorney-In-Fact
Pursuant to a power-of-attorney
previously filed with the
Commission which power is
incorporated herein by reference.
DAVIS FAMILY SPECIAL TRUST
William M. Rich **
-----------------------
By: William M. Rich, Trustee
William M. Rich **
-----------------------
William M. Rich
** /s/ H. J. Skelton
-----------------------
H. J. Skelton
Attorney-in-Fact
Pursuant to a Power-of-Attorney filed
herewith as Exhibit 24.
18
<PAGE>
EXHIBIT 24
SPECIAL POWER OF ATTORNEY
STATE OF GEORGIA
COUNTY OF FULTON
KNOW ALL MEN BY THESE PRESENTS: That I, WILLIAM M. RICH, with offices at 11
Parkside Court, Atlanta, Georgia, do hereby make, constitute and appoint H. JAY
SKELTON, of 4310 Pablo Oaks Court, Jacksonville, Florida, my true and lawful
attorney in fact, for me and in my name, place and stead:
to sign, deliver and file in my name and on my behalf both individually and
in my capacity as Trustee of the DFS Trust, all forms or reports required
to be filed with the Securities and Exchange Commission by certain security
holders of American Heritage Life Investment Corporation, a Florida
corporation, SEC File No. 1-3657, pursuant to Sections 16(a) and 13(d) of
the Securities and Exchange Act of 1934, as amended, and the rules and
regulations thereunder.
The rights, powers and authorities of my Attorney-in-Fact, granted in this
Special Power of Attorney shall commence and be in full force and effect from
the date hereof and shall remain in full force and effect thereafter until I
give notice in writing that such Power is terminated.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 31st day of
December, 1996.
Signed, sealed and delivered
in the presence of:
LINDA L. GROGAN WILLIAM M. RICH
- ------------------- -------------------
Linda L. Grogan William M. Rich
WENDY T. CHAMBERS
- -------------------
Wendy T. Chambers
STATE OF GEORGIA
COUNTY OF FULTON
Before me, the undersigned, a notary public, State of Georgia at Large, an
officer duly authorized to take acknowledgements, personally appeared WILLIAM M.
RICH, personally known to me and known by me to be the person described in and
who executed the foregoing instrument, and he acknowledged before me that he
executed the same for the uses and purposes set forth in said instrument.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official
seal, this 31st day of December, 1996.
MARY ALICE BANCROFT
- -------------------------------
Mary Alice Bancroft
Notary Public, State of Georgia
at Large
Notary Public, DeKalb County, Georgia
My Commission Expires May 10, 1997
19
<PAGE>
