-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Fq4BIhKomtfe2kpaZpbnMouV+blispzMKOAbbQZFfnDmBKh8mKQQOZ5LFIo5C/lB 2CB61jyA3fntIIcbqmkemg== 0001193125-06-031360.txt : 20060214 0001193125-06-031360.hdr.sgml : 20060214 20060214155419 ACCESSION NUMBER: 0001193125-06-031360 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20060214 DATE AS OF CHANGE: 20060214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MPW INDUSTRIAL SERVICES GROUP INC CENTRAL INDEX KEY: 0001047098 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] IRS NUMBER: 341567260 STATE OF INCORPORATION: OH FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-52989 FILM NUMBER: 06614701 BUSINESS ADDRESS: STREET 1: 9711 LANCASTER ROAD SE CITY: HEBRON STATE: OH ZIP: 43025 BUSINESS PHONE: 7409278790 MAIL ADDRESS: STREET 1: 9711 LANCASTER RD SE CITY: HEBRON STATE: OH ZIP: 43025 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLACK MONTE R CENTRAL INDEX KEY: 0001054888 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 0 STREET 2: 9711 LANCASTER ROAD SE CITY: HEBRON STATE: OH ZIP: 43025 BUSINESS PHONE: 614927870 MAIL ADDRESS: STREET 1: 9711 LANCASTER RD SE STREET 2: 9711 LANCASTER RD SE CITY: HEBRON STATE: OH ZIP: 43025 SC 13G/A 1 dsc13ga.htm SCHEDULE 13G AMENDMENT NO. 3 Schedule 13G Amendment No. 3
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

 

 

Under the Securities Exchange Act of 1934

(Amendment No. 3)*

 

 

 

 

 

MPW Industrial Services Group, Inc.

(Name of Issuer)

 

 

Common Stock, without par value

(Title of Class of Securities)

 

 

553444100

(CUSIP Number)

 

 

December 31, 2005

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨ Rule 13d-1(b)

 

¨ Rule 13d-1(c)

 

x Rule 13d-1(d)

 

 

*   The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

CUSIP No. 553444100

 

  1.  

Names of Reporting Persons.

I.R.S. Identification Nos. of above persons (entities only).

 

 

Monte R. Black

    
  2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  

(b)  

    
  3.  

SEC Use Only

 

 

 

    
  4.  

Citizenship or Place of Organization

 

 

United States of America

    

 

Number of  

Shares  

Beneficially  

by Owned by  

Each  

Reporting  

Person  

With:  

 

  

  5.    Sole Voting Power

 

         5,239,860

 

  6.    Shared Voting Power

 

         1,207,794

 

  7.    Sole Dispositive Power

 

         5,239,860

 

  8.    Shared Dispositive Power

 

         1,207,794

  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

 

6,447,654

    
10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

    
11.  

Percent of Class Represented by Amount in Row (9)

 

 

59.4%

    
12.  

Type of Reporting Person (See Instructions)

 

 

IN

    

 

 

Page 2 of 4

ITEM l(a).  

NAME OF ISSUER:

 

MPW Industrial Services Group, Inc.

    
ITEM l(b).  

ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES:

 

9711 Lancaster Road, SE

Hebron, Ohio 43025

    
ITEM 2(a).  

NAME OF PERSON FILING:

 

Monte R. Black

    
ITEM 2(b).  

ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:

 

1400 Stringtown Road

Lancaster, Ohio 43130

    
ITEM 2(c).  

CITIZENSHIP:

 

United States of America

    
ITEM 2(d).  

TITLE OF CLASS OF SECURITIES:

 

common stock, without par value

    
ITEM 2(e).  

CUSIP NUMBER:

 

553444100

    
ITEM 3.  

IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-l(b), OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A:

 

Not Applicable

    
ITEM 4.  

OWNERSHIP:

 

(a)    AMOUNT BENEFICIALLY OWNED:

 

        6,447,654*

    
   

 

*  As of December 31, 2005, Mr. Black was the beneficial owner of 5,239,860 shares of the Company’s common stock, without par value (“Common Stock”), of which 135,000 shares of Common Stock are subject to currently exercisable options to purchase. In addition, as of such date, Susan K. Black, the spouse of Mr. Black, owned 620,000 shares of Common Stock, two of Mr. Black’s three children owned 13,300 shares of Common Stock, one of Mr. Black’s children owned 13,354 shares of Common Stock, and a trust established for the benefit of Mr. Black’s children (the “Trust”) owned 547,840 shares of Common Stock, all of which may be deemed to be beneficially owned by Mr. Black. Mr. Black disclaims beneficial ownership of the shares owned by his spouse, children and the Trust. If the shares owned by Mr. Black’s spouse, children and the Trust are included in the shares beneficially owned by him (6,447,654 shares), all such shares represented 59.4% of the outstanding Common Stock as determined by Rule 13d-3 under the Securities Exchange Act of 1934, as amended. Mr. Black beneficially held all shares, other than the shares owned by his spouse, children and the Trust, individually with sole voting and dispositive power. Mr. Black may be deemed to have shared voting and dispositive power with respect to the shares owned by his spouse, children and the Trust.

    

 

Page 3 of 4

   

(b)    PERCENT OF CLASS:

 

         59.4%

    
   

(c)    NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS:

 

(I)     SOLE POWER TO VOTE OR TO DIRECT THE VOTE:

(II)   SHARED POWER TO VOTE OR TO DIRECT THE VOTE:

(III)  SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF:

(IV) SHARED POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF:

  

 

5,239,860

1,207,794*

5,239,860

1,207,794*

ITEM 5.  

OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS:

 

Not applicable

    
ITEM 6.  

OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON:

 

Susan K. Black, the Trust, and Mr. Black’s three children, have the right to direct the receipt of dividends from, or the proceeds from the sale of, 620,000, 547,840, and 39,954 shares of Common Stock, respectively. See Item 4*

    
ITEM 7.  

IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY:

 

Not applicable

    
ITEM 8.  

IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP:

 

Not applicable

    
ITEM 9.  

NOTICE OF DISSOLUTION OF GROUP:

 

Not applicable

    
ITEM 10.  

CERTIFICATION:

 

Not applicable

    

 

SIGNATURE

 

After reasonable inquiry to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

February 14, 2006
Date
/s/ Monte R. Black
Signature
Monte R. Black
Name/Title

 

Page 4 of 4

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