0000897069-05-000319.txt : 20120705 0000897069-05-000319.hdr.sgml : 20120704 20050207160437 ACCESSION NUMBER: 0000897069-05-000319 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050207 DATE AS OF CHANGE: 20050207 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-78015 FILM NUMBER: 05580610 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 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/A 1 cmw1200.htm AMENDMENT NO. 3
OMB APPROVAL
OMB Number: 3235-0145
Expires: December 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. 3)*


FRESH BRANDS, INC.
(Name of Issuer)

Common Stock, $.05 par value
(Title of Class of Securities)

35803U 10 8
(CUSIP Number)

December 31, 2004
(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).


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.

Page 1 of 3 Pages


CUSIP No. 35803U 10 8

1



 NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

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)

N/A
 (a)   [  ]
(b)   [  ]
3

 SEC USE ONLY

4


 CITIZENSHIP OR PLACE OF ORGANIZATION

United States
NUMBER OF

SHARES 		5


 SOLE VOTING POWER

0
BENEFICIALLY

OWNED 		6


 SHARED VOTING POWER

302,828
BY EACH

REPORTING 		7


 SOLE DISPOSITIVE POWER

0
PERSON WITH:

 8


 SHARED DISPOSITIVE POWER

302,828
9


 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

302,828
10  


 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)
N/A
[  ]
11  


 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

6.1%
12  


 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

EP

Page 2 of 3 Pages


CUSIP No. 35803U 10 8

        This Amendment No. 3 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:  302,828

  (b) Percent of Class:  6.1%

  (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: 302,828

  (iii) sole power to dispose or to direct the disposition of: 0

  (iv) shared power to dispose or to direct the disposition of: 302,828

  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 7, 2005

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