-----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, J/np+j90S+sEHhMBU3VPq6bV8oqotvlmaA3372ztEtv+9gGCxGFpc6aWonMS9yaa BeGdfLX98IwfpqoLUfYbCA== 0000897069-03-000185.txt : 20030212 0000897069-03-000185.hdr.sgml : 20030212 20030212171208 ACCESSION NUMBER: 0000897069-03-000185 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030212 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FRESH BRANDS INC CENTRAL INDEX KEY: 0001135431 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 390600405 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-78015 FILM NUMBER: 03555377 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/A 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 INC SALARIED EMPLOYEES PROFIT SHARING T DATE OF NAME CHANGE: 19940721 FORMER COMPANY: FORMER CONFORMED NAME: SCHULTZ SAV O STORES RETIREMENT SAVINGS PLAN DATE OF NAME CHANGE: 19950203 SC 13G/A 1 irm127.txt SCHEDULE 13G AMENDMENT NO. 1 ---------------------------------- OMB Number: 3235-0145 Expires: October 31, 2005 Estimated average burden Hours per response . . . . . 11 ---------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* FRESH BRANDS, INC. ------------------------ (Name of Issuer) Common Stock, $.05 par value ---------------------------- (Title of Class of Securities) 35803U 10 8 ----------- (CUSIP Number) December 31, 2002 ------------------------------------------------------- (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). Page 1 of 3 Pages CUSIP No. 35803U 10 8 ========== ===================================================================== 1 NAME OF REPORTING 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 (a) [ ] (b) [ ] N/A - ---------- --------------------------------------------------------------------- 3 SEC USE ONLY - ---------- --------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------- --------- ------------------------------------------ NUMBER OF 5 SOLE VOTING POWER 0 SHARES ------------------------------------------------------- 6 SHARED VOTING POWER BENEFICIALLY 623,783 ------------------------------------------------------- OWNED BY EACH 7 SOLE DISPOSITIVE POWER 0 REPORTING ------------------------------------------------------- 8 SHARED DISPOSITIVE POWER PERSON WITH 623,783 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 623,783 - ----------- -------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ] N/A - ----------- -------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 12.2% - ----------- -------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON EP ================================================================================ Page 2 of 3 Pages This Amendment No. 1 to Schedule 13G with regard to Fresh Brands, Inc. is being filed on behalf of the undersigned to amend Item 4 of the original Schedule 13G filed February 14, 2002. Except as expressly stated herein, there have been no material changes in the information set forth in the Schedule 13G. Item 4. Ownership - ------- --------- (a) Amount Beneficially Owned: 623,783 (b) Percent of Class: 12.2% (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: 623,783 (iii) sole power to dispose or to direct the disposition of: 0 (iv) shared power to dispose or to direct the disposition of: 623,783 The Fresh Brands Distributing, Inc. Retirement Savings Plan has the right to receive dividends and proceeds from the sale of securities listed above. 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 12, 2003 ------------------------- FRESH BRANDS DISTRIBUTING, INC. RETIREMENT SAVINGS PLAN f/k/a Schultz Sav-O Stores Retirement Savings Plan By: /s/ Michael G. Isken ------------------------------------------- Michael G. Isken Co-Administrator Page 3 of 3 Pages -----END PRIVACY-ENHANCED MESSAGE-----