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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(AMENDMENT NO. 12)
ALLCITY INSURANCE COMPANY
(Name of Issuer)
COMMON SHARES, $1 PAR VALUE 016752107
(Title of class of securities) (CUSIP number)
ANDREA A. BERNSTEIN, ESQ.
WEIL, GOTSHAL & MANGES LLP
767 FIFTH AVENUE
NEW YORK, NY 10153
(212) 310-8000
(Name, address and telephone number of person
authorized to receive notices and communications)
NOVEMBER 12, 2003
(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.
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-------------------------------------------------------------------------- -----------------------------------
CUSIP No. 016752107 13D
-------------------------------------------------------------------------- -----------------------------------
--------------- ---------------------------------------------------------- ---------------------------------------------------
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: 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: NEW YORK
--------------------------- -------- ----------------------------------------------------- -----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 619,817
SHARES
-------- ----------------------------------------------------- -----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 6,458,808
OWNED BY
-------- ----------------------------------------------------- -----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 619,817
REPORTING
-------- ----------------------------------------------------- -----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,458,808
--------------- -------------------------------------------------------------------------- -----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 7,078,625
--------------- ------------------------------------------------------------------------------------------------------------ -
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
--------------- ------------------------------------------------------------------------------------------------------------ -
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 100%
--------------- ---------------------------------------------------------- ---------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
--------------- ---------------------------------------------------------- ---------------------------------------------------
2
-------------------------------------------------------------------------- -----------------------------------
CUSIP No. 016752107 13D
-------------------------------------------------------------------------- -----------------------------------
--------------- ---------------------------------------------------------- ---------------------------------------------------
1 NAME OF REPORTING PERSON: WMAC INVESTMENT 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: WISCONSIN
--------------------------- -------- ----------------------------------------------------- -----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ----------------------------------------------------- -----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 299,370
OWNED BY
-------- ----------------------------------------------------- -----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ----------------------------------------------------- -----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 299,370
--------------- -------------------------------------------------------------------------- -----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 299,370
--------------- ------------------------------------------------------------------------------------------------------------ -
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
--------------- ------------------------------------------------------------------------------------------------------------ -
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 4.2%
--------------- ---------------------------------------------------------- ---------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
--------------- ---------------------------------------------------------- ---------------------------------------------------
3
------------------------------------------------------------------------------ --------------- -----------------------------------
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: 6,458,808
OWNED BY
------------------------------- --------- ---------------------------------------------------- -----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
------------------------------- --------- ---------------------------------------------------- -----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,458,808
------------------- -------------------------------------------------------------------------- -----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 6,458,808
------------------- -------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
------------------- -------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 91.2%
------------------- ---------------------------------------------------------- ---------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
------------------- ---------------------------------------------------------- ---------------------------------------------------
4
---------------------------------------------------------------------------------- ----------------------------------
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: 6,159,438
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,159,438
---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 6,159,438
---------------------- -------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
---------------------- -------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 87.0%
---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
---------------------- ----------------------------------------------------------- -------------------------------------------------
5
---------------------------------------------------------------------------------- ----------------------------------
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: 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: COLORADO
----------------------------------- -------- ---------------------------------------------------- ----------------------------------
NUMBER OF 7 SOLE VOTING POWER: 0
SHARES
-------- ---------------------------------------------------- ----------------------------------
BENEFICIALLY 8 SHARED VOTING POWER: 6,159,438
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 6,159,438
---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 6,159,438
---------------------- -------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
---------------------- -------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 87.0%
---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
---------------------- ----------------------------------------------------------- -------------------------------------------------
6
---------------------------------------------------------------------------------- ----------------------------------
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: 5,688,031
OWNED BY
-------- ---------------------------------------------------- ----------------------------------
EACH 9 SOLE DISPOSITIVE POWER: 0
REPORTING
-------- ---------------------------------------------------- ----------------------------------
PERSON WITH 10 SHARED DISPOSITIVE POWER: 5,688,031
---------------------- -------------------------------------------------------------------------- ----------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON: 5,688,031
---------------------- -------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES: [_]
---------------------- -------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11): 80.4%
---------------------- ----------------------------------------------------------- -------------------------------------------------
14 TYPE OF REPORTING PERSON: CO
---------------------- ----------------------------------------------------------- -------------------------------------------------
..
7
---------------------------------------------------------------------------------- ----------------------------------
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
---------------------- ----------------------------------------------------------- -------------------------------------------------
8
Item 1. Security and Issuer.
-------------------
This Statement constitutes Amendment No. 12 ("Amendment No. 12") 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., WMAC Investment Corporation, 330 MAD. PARENT CORP.,
Baldwin Enterprises, Inc., BELLPET, Inc. and Empire Insurance Company ("Empire")
(collectively, the "Controlling Entities").
This Statement relates to the common stock, par value $1.00 (the
"Common Stock"), of Allcity Insurance Company ("Allcity"). The address of the
principal executive office of Allcity is 45 Main Street, Brooklyn, New York
11201. Unless otherwise indicated, all capitalized terms used herein have the
meanings ascribed to them in the Schedule 13D.
Item 3. Source and Amount of Funds or Other Consideration.
-------------------------------------------------
Leucadia used funds from its working capital to pay the aggregate
purchase price of $844,816.50 for the 307,206 shares of Allcity Common Stock,
which vested in Leucadia pursuant to the Plan for Acquisition of Minority
Interests in Allcity Insurance Company Pursuant to Section 7118 of the New York
Insurance Law (the "Plan").
Item 4. Purpose of Transaction.
----------------------
On October 23, 2003, the New York Insurance Department (the "NYID")
approved the Plan. The Plan was subsequently mailed to the shareholders of
Allcity on October 28, 2003 and became effective on November 12, 2003. Pursuant
to the Plan, on November 12, 2003, ownership of the 307,206 shares of Allcity
Common Stock that Leucadia did not already beneficially own vested in Leucadia
and each outstanding share of Allcity Common Stock (other than shares owned by
Leucadia and shares for which appraisal is sought under applicable provisions of
New York law) was converted into the right to receive $2.75 per share in cash.
Upon receipt of approval of the NYID, Leucadia intends to merge Allcity with and
into Empire.
Except as set forth above, none of the Controlling Entities have any
present plans or intentions which would result in or relate to any of the
transactions described in subparagraphs (a) through (j) of Item 4 of Schedule
13D.
Item 5. Interest in Securities of the Issuer.
------------------------------------
(a) The responses of each of the Controlling Entities to Rows (11)
through (13) of the cover pages of this Amendment No. 12 are incorporated herein
by reference.
(b) The responses of each of the Controlling Entities to (i) Rows (7)
through (10) of the cover pages of this Amendment No. 12 and (ii) Item 5(a)
hereof are incorporated herein by reference.
(c) Item 4 is incorporated herein by reference.
(d) - (e) Not applicable.
Item 7. Material to be Filed as Exhibits.
--------------------------------
1. Agreement among the Controlling Entities with respect to the filing of this
Schedule 13D.
9
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: November 13, 2003
LEUCADIA NATIONAL CORPORATION PHLCORP, INC.
By: /s/ Joseph A. Orlando By: /s/ Joseph A. Orlando
---------------------------- ------------------------------
Name: Joseph A. Orlando Name: Joseph A. Orlando
Title: Vice President and Chief Title: Vice President
Financial Officer
EMPIRE INSURANCE COMPANY BELLPET, INC.
By: /s/ Douglas Whitenack By: /s/ Corinne Maki
---------------------------- -------------------------------
Name: Douglas Whitenack Name: Corinne Maki
Title: Chief Financial Officer Title: Vice President, Secretary and
Controller
BALDWIN ENTERPRISES, INC. 330 MAD PARENT. PARENT CORP.
By: /s/ Joseph A. Orlando By: /s/ Corinne Maki
---------------------------- -------------------------------
Name: Joseph A. Orlando Name: Corinne Maki
Title: Vice President Title: Vice President, Secretary and
Controller
WMAC INVESTMENT CORPORATION
By: /s/ Joseph A. Orlando
----------------------------
Name: Joseph A. Orlando
Title: Vice President
10