UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
SCHEDULE 13D/A
(Rule 13d-1)
Under the Securities Exchange Act of 1934
(Amendment No. 1)
NYMAGIC, Inc.
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(Name of Issuer)
Common Stock, $1.00 Par Value
-----------------------------
(Title of Class of Securities)
629484 10 6
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(CUSIP Number)
Robert G. Simses
Cummings & Lockwood
140 Royal Palm Way, Suite 205
Palm Beach, FL 33480
(561) 659-1250
--------------
(Name, Address and Telephone Number of Person Authorized to Receive
Notices and Communications)
December 13, 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/A, and is filing this
Schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ]
Page 1 of 6 Pages
<PAGE>
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CUSIP No. 629484 10 6 Page 2 of 6 Pages
- --------------------------------------------------------------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Louise B. Tollefson Revocable Trust dated 12/23/97
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) [ ]
(b) [ ]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 SOURCE OF FUNDS (See Instructions)
OO
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5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) or 2(e) [ ]
- ------------ -------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Florida
- ------------------------- -------- ---------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 0
-------- ---------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 0
-------- ---------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 0
-------- ---------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- ------------ -------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
- ------------ -------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES (See Instructions) [ ]
- ------------ -------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
- ------------ -------------------------------------------------------------------
14 TYPE OF REPORTING PERSON (See Instructions)
OO
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<PAGE>
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CUSIP No. 629484 10 6 Page 3 of 6 Pages
- --------------------------------------------------------------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Louise B. Tollefson
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) [ ]
(b) [ ]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 SOURCE OF FUNDS (See Instructions)
OO
- ------------ -------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) or 2(e) [ ]
- ------------ -------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- ------------------------- -------- ---------------------------------------------
7 SOLE VOTING POWER
NUMBER OF 3,860
-------- ---------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 0
-------- ---------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 3,860
-------- ---------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- ------------ -------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,818,471
- ------------ -------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES (See Instructions) [ ]
- ------------ -------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
18.8%
- ------------ -------------------------------------------------------------------
14 TYPE OF REPORTING PERSON (See Instructions)
IN
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<PAGE>
Page 4 of 6 Pages
Introduction
------------
This Amendment No. 1 to Schedule 13D is being filed in order to report
the transfer of an aggregate of 1,814,611 shares of common stock, $1.00 par
value (the "Common Stock"), of NYMAGIC, Inc., a New York corporation (the
"Issuer"), from the Louise B. Tollefson Revocable Trust dated 12/23/97 (the
"Revocable Trust") to the Louise B. Tollefson Florida Intangible Tax Trust u/a
12/9/98 (the "FIT Trust"). Louise B. Tollefson ("Tollefson") is a beneficiary of
the FIT Trust and is both the sole Trustee and a beneficiary of the Revocable
Trust. Howard S. Tuthill and Howard S. Tuthill III are Co-Trustees of the FIT
Trust.
ITEM 1. SECURITY AND ISSUER.
There has been no change to this Item.
ITEM 2. IDENTITY AND BACKGROUND.
There has been no change to this Item.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION.
The transaction which requires the filing of this Amendment was a
transfer which was effected without consideration. On December 13, 1999, the
Revocable Trust effected a transfer of an aggregate of 1,814,611 shares of
Common Stock to the FIT Trust.
ITEM 4. PURPOSE OF TRANSACTION.
The purpose of the transfer of 1,814,611 shares of Common Stock from
the Revocable Trust to the FIT Trust was to implement certain aspects of
Tollefson's estate and tax planning.
Neither the Revocable Trust nor Tollefson has any plans or proposals
which would result in any of the consequences listed in paragraphs (a) - (j) of
Item 4 of Schedule 13D.
<PAGE>
Page 5 of 6 Pages
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER.
(a) and (b) Set forth in the table below are the number and percentage
of shares of Common Stock of the Issuer beneficially owned by each Reporting
Person named in Item 2 as of the date hereof:
<TABLE>
<CAPTION>
Number of Shares Number of Shares
Beneficially Owned Beneficially Owned With Aggregate Number
With Sole Voting and Shared Voting and of Shares Percentage of Shares
Name Dispositive Power Dispositive Power Beneficially Owned Beneficially Owned
- ---- ----------------- ----------------- ------------------ ------------------
<S> <C> <C> <C> <C>
Louise B. Tollefson
Revocable Trust dated
12/23/97 0 0 0 0%
Louise B. Tollefson 3,860 0 1,818,471 18.8%
</TABLE>
(c) On December 13, 1999, 1,814,611 shares of Common Stock were
transferred from the Revocable Trust to the FIT Trust. No consideration was
given or received for this transfer.
(d) None.
(e) Not Applicable.
ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT
TO SECURITIES OF THE ISSUER.
None.
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS.
There has been no change to this Item.
<PAGE>
Page 6 of 6 Pages
SIGNATURES
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: December 29, 1999
/s/ Louise B. Tollefson
------------------------------
Louise B. Tollefson
LOUISE B. TOLLEFSON REVOCABLE
TRUST DATED 12/23/97
By: /s/ Louise B. Tollefson
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Louise B. Tollefson
Trustee