FORM 3 |
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION |
OMB APPROVAL |
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
OMB
Number: 3235-0104 Filed By |
1. Name and Address of Reporting Person* RFPS Management Company I, L.P. |
2. Date of Event |
4. Issuer Name and
Ticker or Trading Symbol |
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(Last) (First) (Middle) 2170 Piedmont Road, N.E. |
3. I.R.S. Identification
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5. Relationship of
Reporting Person(s)
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6. If Amendment, Date of Original (Month/Day/Year) |
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(Street) Atlanta, GA 30324 |
7. Individual
or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I Non-Derivative Securities Beneficially Owned |
1. Title of Security |
2. Amount of |
3. Ownership Form: |
4. Nature of Indirect
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Common Stock |
21,118,777 |
D |
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Reminder:
Report on a separate line for each class of securities beneficially owned
directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number |
FORM 3 (continued) |
Table II -
Derivative Securities Beneficially Owned |
1. Title of Derivative
Security |
2. Date Exercisable |
3. Title and Amount
of Securities |
4. Conversion or
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5. Ownership Form |
6. Nature of Indirect
Beneficial Ownership |
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Date |
Expiration |
Title |
Amount or |
Explanation of Responses: |
By: /s/ Glenn P. Grove, Jr. RFPS Investments I, L.P. by Glenn P. Grove, Jr., Asst. Secretary of LOR, Inc., Manager **Signature of Reporting Person |
April 28, 2003 Date |
**Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. Note: File three
copies of this Form, one of which must be manually signed. Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
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Joint Filer Information Name: LOR, Inc. Address: 2170 Piedmont Road, N.E. Atlanta, GA 30324 Designated Filer: RFPS Management Company I, L.P. Issuer & Ticker Symbol: Rollins, Inc. (ROL) Date of Event Requiring Statement: 4/28/03 Signature: LOR, Inc. /s/ Glenn P. Grove, Jr. ------------------------------------------ By: Glenn P. Grove, Jr., Assistant SecretaryJoint Filer Information Name: RFA Management Company, LLC Address: c/o LOR, Inc. 2170 Piedmont Road, N.E. Atlanta, GA 30324 Designated Filer: RFPS Management Company I, L.P. Issuer & Ticker Symbol: Rollins, Inc. (ROL) Date of Event Requiring Statement: 4/28/03 Signature: RFA MANAGEMENT COMPANY, LLC By: LOR, Inc., Manager /s/ Glenn P. Grove, Jr. ------------------------------------------ By: Glenn P. Grove, Jr., Assistant Secretary 1610283