SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-K/A AMENDMENT NO. 1 [x] AMENDEMENT TO ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the fiscal year ended December 31, 2002 OR [ ] AMENDMENT TO TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the transition period from ___to___ Commission file number 1-7411 ------ ALLCITY INSURANCE COMPANY - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) New York 13-2530665 - -------------------------------------------------------------------------------- (State of incorporation) (I.R.S. Employer Identification Number) 45 Main Street, Brooklyn, N.Y 11201-3731 - -------------------------------------------------------------------------------- (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code 718-422-4000 ------------ Securities registered pursuant to Section 12(b) of the Act: Name of each exchange on Title of each class which registered - ------------------- ---------------- None - -------------------------------------------------------------------------------- Securities registered pursuant to Section 12(g) of the Act: - -------------------------------------------------------------------------------- None (Title of Class) Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [x] Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No ------- ------- Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Securities Exchange Act). Yes No X --------- ----------- The aggregate market value of the voting stock held by nonaffiliates of the registrant as of June 30, 2002 was $216,936. The number of shares outstanding of each of the registrant's classes of common shares, as of March 17, 2003, was 7,078,625. DOCUMENTS INCORPORATED BY REFERENCE: None 1 EXPLANATORY NOTE This report on Form 10-K/A amends and restates in their entirety the following Items of the Annual Report on Form 10-K of Allcity Insurance Company (the "Company") for the fiscal year ended December 31, 2002: PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT - -------- --------------------------------------------------- Pursuant to the Company's Charter and By-Laws, the Board of Directors of the Company consists of 13 members divided into three classes: Class I, Class II and Class III. As of April 17, 2003, the directors and executive officers of the Company, their ages, positions held by them during the past five years and the periods during which they have served in such positions are as follows: NAME, AGE AND POSITION PRINCIPAL OCCUPATION, OFFICE WITH COMPANY AND TERM OF OFFICE - ------------------------ ---------------------------- H.E. Scruggs, 45, Principal Occupation - Vice President of Director, President and Leucadia since August 2002 and from Chief Executive Officer March 2000 through December 2001; President and Chief Executive Officer of the Company and Empire since September 2000. Chairman of American Investment Bank ("AIB"), a Leucadia subsidiary, since 1997. Director of MK Gold (an international mining company) since March 2001; Chairman of Conwed Plastics (a subsidiary of Leucadia which manufactures plastic netting) since January 2000. Class II Director since September 2000; current term expires 2004. Martin B. Bernstein, 69, Principal Occupation - Chairman, Bedford Director Capital and private investor since July 2002. Previously, President and Director of Ponderosa Fibres of America, Inc. (a pulp manufacturer for paper producers) from 1988 through July 2002. Class II Director since February 1988; current term expires 2004. Ian M. Cumming, 62, Principal Occupation - Chairman of the Director Board and a Director of Leucadia since June 1978. Chairman of the Board of The FINOVA Group Inc. (a middle market lender) ("FINOVA") since August 2001; Director of Skywest, Inc. (a Utah based regional air carrier) since June 1986. Director of MK Gold since June 1995; Director of HomeFed Corporation ("HomeFed"), (a real estate development company) since May 1999; Director of Carmike Cinemas, Inc. (a motion picture exhibitor) since January 2002; Chairman of WilTel Communications Group Inc. (a telecommunications company) ("WilTel") since October 2002. Class I Director since February 1988; current term expires 2003. James E. Jordan, 59, Principal Occupation - Managing Director Director of Arnhold & S. Bleichroder Advisers, LLC (a privately owned global investment management company) since July 2002; Previously, private investor and from 1986 to 1997, President of The William Penn Corporation; Director of First Eagle Mutual Funds and J.Z. Equity Partners PLC (a British investment trust company). Class III Director since 1997; current term expires 2005. 2 NAME, AGE AND POSITION PRINCIPAL OCCUPATION, OFFICE WITH COMPANY AND TERM OF OFFICE - ----------------------- ------------------------------ Thomas E. Mara, 57, Principal Occupation - Executive Vice Director President of Leucadia since May 1980 and Treasurer of Leucadia since January 1993; Director of MK Gold since February 2000; Director of FINOVA since September 2002. Class I Director since October 1994; current term expires 2003. Louis V. Siracusano, 56, Principal Occupation - Attorney with Director McKenna, Siracusano & Chianese (a law firm) since 1976. Class II Director since 1985; current term expires 2004. Joseph A. Orlando, 47, Principal Occupation - Vice President Director and Chief Financial Officer of Leucadia since April 1996. Class III Director since 1998; current term expires 2005. Joseph S. Steinberg, 59, Principal Occupation - President of Director, Chairman of the Board Leucadia since January 1979 and Director of Leucadia since December 1978; Director of MK Gold since June 1995. Director of Jordan Industries Inc. (a public company that owns and manages manufacturing companies) since June 1988; Director of HomeFed since August 1998; Chairman of the Board since December 1999; Director of FINOVA since August 2001; Director of White Mountains Insurance Group, Ltd. (a publicly traded insurance holding company) since June 2001; Director of WilTel since October 2002. Class I Director since February 1988; current term expires 2003. Daniel G. Stewart, 84, Principal Occupation - Independent Director consulting actuary since 1991. Class I Director since 1980; current term expires 2003. Lucius Theus, 80, Principal Occupation - President, The Director U.S. Associates (consultants in civic affairs, human resources and business management) since 1989; Principal and Chief Operating Officer of the Wellness Group, Inc. (a provider of health promotion programs) since 1989. Class II Director since 1980; current term expires 2004. Rocco J. Nittoli, 44, Principal Occupation -Chief Operating Director, Chief Operating Officer Officer of the Company and Empire since February 2001, Senior Vice President & Chief Information Officer of the Company and Empire from January 2000 to February 2001; Vice President and Controller from June 1999 to January 2000; Controller from September 1997 to June 1999. Class I Director since March 2001, current term expires 2003. Harry H. Wise, 64 Principal Occupation - President and Director Director, H.W. Associates, Inc. (an investment advisory firm) since 1981. Class III Director since 1988; current term expires 2005. 3 NAME, AGE AND POSITION PRINCIPAL OCCUPATION, OFFICE WITH COMPANY AND TERM OF OFFICE - ----------------------- ------------------------------ Christopher J. Gruttemeyer, 37, Principal Occupation - Vice President Director, Vice President for the Company and Empire since December 2000; Assistant Vice President from September 1999 to December 2000; Senior Financial Analyst from December 1996 to September 1999. Class III Director since March 2001; current term expires in 2005. Edward A. Hayes, 51, Principal Occupation - Senior Vice Senior Vice President President, Claims for the Company and Empire since November 1999; Previously, attorney with Hawkins, Feretic, Daly, Maroney & Hayes (a law firm) from May 1997 to November 1999. Douglas M. Whitenack, 43, Principal Occupation - Chief Financial Chief Financial Officer Officer, for the Company and Empire since December 2002; Vice President and Controller from January 2000 to December 2002; Assistant Vice President from September 1997 to January 2000. BENEFICIAL OWNERSHIP REPORTING COMPLIANCE - ----------------------------------------- Section 16 (a) of the Securities Exchange Act of 1934 requires the Company's executive officers and directors, and persons who beneficially own more than ten percent of the Company's common stock to file reports of ownership and changes in ownership with the Securities Exchange Commission. Based solely upon written representations from the Company's executive officers and directors and greater than 10% beneficial shareholders, the Company believes that during the year ended December 31, 2001, no persons subject to the reporting requirements of Section 16 (a) were required to file any such reports. ITEM 11. EXECUTIVE COMPENSATION - -------- ---------------------- SUMMARY COMPENSATION TABLE The Company does not remunerate its executive officers directly. Executive officers of the Company are also executive officers of the Company's parent, Empire, which pays all salaries. The Company operates under the same general management as Empire and has full use of Empire's personnel, information technology systems and facilities. All salaries and other operating expenses are shared by the Company and Empire pursuant to a pooling arrangement under which 30% of such expenses are charged to the Company. The amounts reflected in the table below represent the Company's 30% share of compensation expense. The following table sets forth certain compensation information for H.E. Scruggs, Jr., President and Chief Executive Officer ("CEO") of the Company. There were no other executive officers whose salaries or bonuses paid, or accrued for, under the pooling arrangement exceeded $100,000 for the year ended December 31, 2002. SUMMARY COMPENSATION TABLE -------------------------- ALL OTHER ANNUAL COMPENSATION COMPENSATION ------------------- ------------ NAME AND PRINCIPAL POSITION SALARY BONUS YEAR $ $ $ ---- -------- --------- ------- H. E. Scruggs 2002 $ 11,100 -- $ 1,157 President & CEO 2001 $ 32,366 $ 140,513 $ 2,688 2000 (a) (a) (a) (a) Mr. Scruggs received no compensation from the Company in 2000. Mr. Scruggs was compensated directly by Leucadia in 2000. Mr. Scruggs was not employed by the Company prior to September 2000. 4 The Company does not directly remunerate directors. The directors of the Company are also directors of Empire and their fees are paid pursuant to the pooling agreement described above. Directors who are not officers or employees of Empire and the Company are paid an annual joint retainer of $5,000. In addition, eligible directors receive $1,500 for each joint board meeting attended. For attendance at a meeting of a committee of the joint board, such directors receive $1,500 per meeting. In addition, each Chairperson of a committee is entitled to $500 per annum. In December 2002, a special committee of the Board of Directors, consisting of Martin B. Bernstein (Chairman) and Lucius Theus, was formed to consider a possible offer by Leucadia to purchase shares of the Company's common stock not already beneficially owned by Leucadia. Each member of the special committee will be paid a retainer of $10,000 and $1,500 per meeting for his services on the special committee. All fees paid to such directors are shared in accordance with the pooling agreement. The Company and Empire do not have a pension plan. Eligible employees of Empire participate in Leucadia's savings and retirement plan and all related costs are shared in accordance with the pooling agreement. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT - -------- --------------------------------------------------------------- AND RELATED STOCKHOLDER MATTERS ------------------------------- SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS The following table sets forth information as of April 25, 2002 as to the common stock of the Company owned of record and beneficially by each person who owns of record, or is known by the Company to own beneficially, more than 5% of such common stock. NAME AND AMOUNT AND ADDRESS OF NATURE OF BENEFICIAL BENEFICIAL PERCENT OF OWNER OWNERSHIP CLASS ----- --------- ----- Empire Insurance Company 5,987,401 shares of 84.58% 45 Main Street common stock Brooklyn, N.Y. 11201 owned of record Baldwin Enterprises, Inc. 471,407 shares of 6.66% 529 East South Temple common stock Salt Lake City, Utah 84102 owned of record As discussed in Item 1, "Business", Leucadia (and certain of its wholly-owned subsidiaries) may be deemed a parent of Empire and of the Company as a result of its indirect ownership of 100% of the outstanding common stock of Empire. SECURITY OWNERSHIP OF MANAGEMENT The following table sets forth information concerning beneficial ownership of the Company's common stock and the equity securities of Leucadia by each director and by all directors and officers of the Company as a group as of April 17, 2003. Each holder shown exercises sole voting and sole investment power of the shares shown opposite his or her name. NAME OF BENEFICIAL AMOUNT AND NATURE OF PERCENT OF OWNER BENEFICIAL OWNERSHIP CLASS - ------------------ -------------------- ----------- Martin B. Bernstein - - Ian M. Cumming (1) - - Christopher J. Gruttemeyer - - James E. Jordan - - Thomas E. Mara - - Rocco J. Nittoli - - Joseph A. Orlando - - H.E. Scruggs - - Louis V. Siracusano - - Joseph S. Steinberg (1) - - 5 Daniel G. Stewart - - Lucius Theus - - Harry H. Wise - - Directors and Executive Officers as a group - - (15 persons) (2) (1) Although neither Ian M. Cumming nor Joseph S. Steinberg directly owns any shares of common stock of the Company, by virtue of their respective interest of approximately 16.6% and 15.4% in Leucadia and their positions as directors and Chairman and President, respectively, of Leucadia, each may be deemed to be the beneficial owner of a proportionate number of the shares of common stock of the Company beneficially owned by Leucadia through its subsidiaries, Empire and Baldwin Enterprises, Inc. (2) Aside from the beneficial ownership described in Note 1 to this table, Messrs. Bernstein, Gruttemeyer, Jordan, Mara, Nittoli, Orlando, Scruggs and Wise, as well as one executive officer, beneficially own common shares of Leucadia, which in the aggregate, represent less than 1% of Leucadia's common shares. EQUITY COMPENSATION PLAN INFORMATION There are no equity compensation plans outstanding at December 31, 2002. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS - -------- ---------------------------------------------- See Item 1 of this report and Notes 1, 3, 8, 9, 10 and 11 of Notes to Consolidated Financial Statements for information relating to transactions and relationships between the Company and its affiliates. 6 Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this amendment to be signed on its behalf by the undersigned, thereunto duly authorized. ALLCITY INSURANCE COMPANY Registrant By: /s/ Douglas M. Whitenack --------------------------------- Douglas M. Whitenack Chief Financial Officer Dated: April 28, 2003 7 CERTIFICATIONS -------------- I, H.E. Scruggs, certify that: 1. I have reviewed this annual report on Form 10-K/A of Allcity Insurance Company; and 2. Based on my knowledge, this annual report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this annual report. Date: April 28, 2003 /s/ H.E. Scruggs -------------------------------- H.E. Scruggs Chief Executive Officer 8 CERTIFICATIONS -------------- I, Douglas M. Whitenack, certify that: 1. I have reviewed this annual report on Form 10-K/A of Allcity Insurance Company; and 2. Based on my knowledge, this annual report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this annual report. Date: April 28, 2003 /s/ Douglas M. Whitenack ------------------------------- Douglas M. Whitenack Chief Financial Officer 9