-----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, JGArhmVnZ4U0EwtCqiKqj6mA6yilwV/esNUeNP9diy8QNBvHVR77qvZWdnJgKmTY RbAzC0PJUJxo85Pz1Shf3w== 0000897069-02-000147.txt : 20020414 0000897069-02-000147.hdr.sgml : 20020414 ACCESSION NUMBER: 0000897069-02-000147 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FRESH BRANDS INC CENTRAL INDEX KEY: 0001135431 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 392019963 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-78015 FILM NUMBER: 02545647 BUSINESS ADDRESS: STREET 1: 2215 UNION AVENUE CITY: SHEBOYGAN STATE: WI ZIP: 53081 MAIL ADDRESS: STREET 1: 2215 UNION AVENUE CITY: SHEBOYGEN STATE: WI ZIP: 53081 FORMER COMPANY: FORMER CONFORMED NAME: SCHULTZ HOLDING CO INC DATE OF NAME CHANGE: 20010226 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: FRESH BRANDS DISTRIBUTING INC RETIREMENT SAVINGS PLAN CENTRAL INDEX KEY: 0000927288 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 2215 UNION AVE CITY: SHEBOYGAN STATE: WI ZIP: 53081 BUSINESS PHONE: 4144574433 MAIL ADDRESS: STREET 1: 2215 UNION AVE CITY: SHEBOYGAN STATE: WI ZIP: 53081 FORMER COMPANY: FORMER CONFORMED NAME: SCHULTZ SAV O STORES RETIREMENT SAVINGS PLAN DATE OF NAME CHANGE: 19950203 FORMER COMPANY: FORMER CONFORMED NAME: SCHULTZ SAV O STORES INC SALARIED EMPLOYEES PROFIT SHARING T DATE OF NAME CHANGE: 19940721 SC 13G 1 slp210.txt SCHEDULE 13G ----------------------------------- OMB APPROVAL ----------------------------------- OMB Number: 3235-0145 Expires: October 31, 2002 Estimated average burden Hours per response . . . . . .14.9 ----------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934* FRESH BRANDS, INC. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.05 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 35803U 10 8 ------------------------------------------------------------------------ (CUSIP Number) December 31, 2001 ------------------------------------------------------------------------ (Date of Event Which Requires Filing of this Statement Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [X] Rule 13d-1(b) [ ] Rule 13d-1(c) [ ] 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 disclosures provided in a prior cover page. The information required on 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). (Continued on following page(s)) Page 1 of 5 Pages ========= ===================================================================== 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Fresh Brands Distributing, Inc. Retirement Savings Plan (f/k/a Schultz Sav-O Stores Retirement Savings Plan) - ---------- --------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] N/A - ---------- --------------------------------------------------------------------- 3 SEC USE ONLY - ---------- --------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------- --------- ------------------------------------------ 5 SOLE VOTING POWER NUMBER OF 0 SHARES --------- ------------------------------------------ BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 751,771 EACH --------- ------------------------------------------ REPORTING 7 SOLE DISPOSITIVE POWER PERSON 0 WITH --------- ------------------------------------------ 8 SHARED DISPOSITIVE POWER 751,771 - ----------- -------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 751,771 - ----------- -------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] N/A - ----------- -------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 14.6% - ----------- -------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) EP =========== ==================================================================== Page 2 of 5 Pages Item 1(a). Name of Issuer: Fresh Brands, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 2215 Union Avenue Sheboygan, Wisconsin 53081 Item 2(a). Name of Person Filing: Fresh Brands Distributing, Inc. Retirement Savings Plan (f/k/a Schultz Sav-O Stores Retirement Savings Plan) Item 2(b). Address of Principal Business Office or, if none, Residence: 2215 Union Avenue Sheboygan, Wisconsin 53081 Item 2(c). Citizenship: United States Item 2(d). Title of Class of Securities: Common Stock, $.05 par value Item 2(e). CUSIP Number: 35803U 10 8 Page 3 of 5 Pages Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). [ ] An investment adviser in accordance with ss. 240.13d-1(b)(1)(ii)(E). |X| An employee benefit plan or endowment fund in accordance with ss. 240.13d-1(b)(1)(ii)(F). [ ] A parent holding company or control person in accordance with ss. 240.13d-1(b)(1)(ii)(G). [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); [ ] Group, in accordance with ss. 240.13d-1(b)(1)(ii)(J). Item 4. Ownership (a) Amount Beneficially Owned: 751,771 (b) Percent of Class: 14.6% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 0 (ii) shared power to vote or to direct the vote: 751,771 (iii) sole power to dispose or to direct the disposition of: 0 (iv) shared power to dispose or to direct the disposition of: 751,771 Item 5. Ownership of Five Percent or Less of a Class. N/A Item 6. Ownership of More than Five Percent on Behalf of Another Person. N/A Page 4 of 5 Pages Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. N/A Item 8. Identification and Classification of Members of the Group. N/A Item 9. Notice of Dissolution of Group. N/A Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the oridinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 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: February 13, 2002 FRESH BRANDS DISTRIBUTING, INC. RETIREMENT SAVINGS PLAN f/k/a Schultz Sav-O Stores Retirement Savings Plan By: /s/ Armand C. Go ---------------------------------- Armand C. Go Co-Administrator Page 5 of 5 Pages -----END PRIVACY-ENHANCED MESSAGE-----