-----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, N09GxuuEDefRCMG74oxbhPmbOr8OKGut0SB/AnIwsI5QRRw5umhiyUTMnf0Pz4L5 ryw0cz3KkrgUg5CBXGPe5Q== 0000950123-96-005000.txt : 19960916 0000950123-96-005000.hdr.sgml : 19960916 ACCESSION NUMBER: 0000950123-96-005000 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19960913 SROS: NASD GROUP MEMBERS: CPAC INVESTORS LLC GROUP MEMBERS: ISAAC HERZOG GROUP MEMBERS: THE RELATASI TRUST SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CPAC INC CENTRAL INDEX KEY: 0000351717 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY, NEC [3559] IRS NUMBER: 160961040 STATE OF INCORPORATION: NY FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-33289 FILM NUMBER: 96629606 BUSINESS ADDRESS: STREET 1: 2364 LEICESTER RD CITY: LEICESTER STATE: NY ZIP: 14481 BUSINESS PHONE: 7163823223 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CPAC INVESTORS LLC CENTRAL INDEX KEY: 0001001844 STANDARD INDUSTRIAL CLASSIFICATION: [] STATE OF INCORPORATION: DE FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 1209 ORANGE ST CITY: WILMINGTON STATE: DE ZIP: 19801 BUSINESS PHONE: 2126966192 MAIL ADDRESS: STREET 1: 101 PARK AVE STREET 2: STE 3500 CITY: NEW YORK STATE: NY ZIP: 10178 SC 13D/A 1 AMENDMENT #4 1 -------------------------------- OMB APPROVAL OMB Number: 3235-0145 Estimated average burden hours per response...14.90 -------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4) CPAC, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK PAR VALUE $0.01 PER SHARE - -------------------------------------------------------------------------------- (Title of Class of Securities) 126145101 - -------------------------------------------------------------------------------- (CUSIP Number) ELIOT LAUER (212) 696-6192 CURTIS, MALLET-PREVOST, COLT & MOSLE 101 PARK AVENUE, SUITE 3500 NEW YORK, NEW YORK 10178 - -------------------------------------------------------------------------------- (Name, Address and Telephone number of Person Authorized to Receive Notices and Communications) AUGUST 29, 1996 -------------------------------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box.[ ] Check the following box if a fee is being paid with the statement. [ ] (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. 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 13 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 10 Pages 2 - -------------------------------- CUSIP No. 126145101 - -------------------------------- - -------------------------------------------------------------------------------- 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person CPAC Investors, L.L.C.; 51-0369089 - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group* (a) [ ] (b) [x] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Source of Funds Not applicable - -------------------------------------------------------------------------------- 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(E) [ ] - -------------------------------------------------------------------------------- 6 Citizenship or Place of Organization Delaware, USA - -------------------------------------------------------------------------------- Number of 7 Sole Voting Power Shares - 0 - Beneficially ---------------------------------------------- Owned By 8 Shared Voting Power Each - 0 - Reporting ---------------------------------------------- Person 9 Sole Dispositive Power With - 0 - ---------------------------------------------- 10 Shared Dispositive Power - 0 - - -------------------------------------------------------------------------------- 11 Aggregate Amount Beneficially Owned by Each Reporting Person - 0 - - -------------------------------------------------------------------------------- 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] - -------------------------------------------------------------------------------- 13 Percent of Class Represented by Amount in Row (11) 0% - -------------------------------------------------------------------------------- 14 Type of Reporting Person* 00 -- limited liability company - -------------------------------------------------------------------------------- - -------- *SEE INSTRUCTIONS BEFORE FILLING OUT Page 2 of 10 Pages 3 - -------------------------------- CUSIP No. 126145101 - -------------------------------- - -------------------------------------------------------------------------------- 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person The Relatasi Trust by Mercotrust Limited, Trustee - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group* (a) [ ] (b) [x] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Source of Funds Not applicable - -------------------------------------------------------------------------------- 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(E) [ ] - -------------------------------------------------------------------------------- 6 Citizenship or Place of Organization Principality of Liechenstein - -------------------------------------------------------------------------------- Number of 7 Sole Voting Power Shares - 0 - Beneficially ---------------------------------------------- Owned By 8 Shared Voting Power Each - 0 - Reporting ---------------------------------------------- Person 9 Sole Dispositive Power With - 0 - ---------------------------------------------- 10 Shared Dispositive Power - 0 - - -------------------------------------------------------------------------------- 11 Aggregate Amount Beneficially Owned by Each Reporting Person - 0 - - -------------------------------------------------------------------------------- 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] - -------------------------------------------------------------------------------- 13 Percent of Class Represented by Amount in Row (11) 0% - -------------------------------------------------------------------------------- 14 Type of Reporting Person* CO - -------------------------------------------------------------------------------- - -------- *SEE INSTRUCTIONS BEFORE FILLING OUT Page 3 of 10 Pages 4 - -------------------------------- CUSIP No. 126145101 - -------------------------------- - -------------------------------------------------------------------------------- 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Isaac Herzog - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group* (a) [ ] (b) [x] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Source of Funds Not applicable - -------------------------------------------------------------------------------- 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(E) [ ] - -------------------------------------------------------------------------------- 6 Citizenship or Place of Organization Israel - -------------------------------------------------------------------------------- Number of 7 Sole Voting Power Shares - 0 - Beneficially ---------------------------------------------- Owned By 8 Shared Voting Power Each - 0 - Reporting ---------------------------------------------- Person 9 Sole Dispositive Power With - 0 - ---------------------------------------------- 10 Shared Dispositive Power - 0 - - -------------------------------------------------------------------------------- 11 Aggregate Amount Beneficially Owned by Each Reporting Person - 0 - - -------------------------------------------------------------------------------- 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] - -------------------------------------------------------------------------------- 13 Percent of Class Represented by Amount in Row (11) 0% - -------------------------------------------------------------------------------- 14 Type of Reporting Person* IN - -------------------------------------------------------------------------------- - -------- *SEE INSTRUCTIONS BEFORE FILLING OUT Page 4 of 10 Pages 5 PRELIMINARY NOTE This statement constitutes Amendment No. 4 to a Schedule 13D dated September 25, 1995, as amended by Amendment No. 1 dated November 2, 1995, Amendment No. 2 dated December 28, 1995, and Amendment No. 3 dated August 27, 1996, with respect to the common stock, par value $0.01 per share (the "Common Stock"), of CPAC, Inc., a New York corporation whose principal executive offices are located at 2364 Leicester Road, Leicester, New York 14481 (the "Company"). The first paragraph of Item 2 is hereby amended so that, as amended, it shall read in its entirety as set forth below. ITEM 2. IDENTITY AND BACKGROUND. This statement is being filed on behalf of: (i) CPAC Investors, L.L.C., a limited liability company organized under the laws of the State of Delaware ("CPAC Investors"), (ii) the Relatasi Trust, an irrevocable trust created under the laws of Liechtenstein, which owns a 54.1486% interest in CPAC Investors and has an irrevocable proxy to vote an additional 40.6224% of the currently outstanding membership interests of CPAC Investors, by its trustee, Mercotrust Limited, a trust company organized under the laws of Liechtenstein ("Mercotrust"), and (iii) Mr. Isaac Herzog, the protector of the Relatasi Trust, in connection with the sale by CPAC Investors of an aggregate of 1,250,000 shares of the Common Stock owned of record by CPAC Investors, which constitutes all of the Common Stock that was owned by CPAC Investors. CPAC Investors previously reported its ownership of 1,000,000 shares of the Common Stock on Amendment No. 2 to its Schedule 13D, dated Page 5 of 10 Pages 6 December 28, 1995. Subsequent to that time, the Company effected a five-for-four split of its Common Stock, so that CPAC Investors' ownership increased to 1,250,000 shares. SIGNATURES 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: September 12, 1996 CPAC INVESTORS, L.L.C. By: /s/ Eliot Lauer ---------------------------------------- Eliot Lauer, Manager /s/ Eliot Lauer ------------------------------------------- Eliot Lauer, Attorney-in-Fact for: MERCOTRUST LIMITED, Trustee of, and on behalf of, the Relatasi Trust Mr. Isaac Herzog, Protector of the Relatasi Trust Page 6 of 10 Pages 7 EXHIBIT INDEX
EXHIBIT NO. DESCRIPTION SEQ. PAGE NO. - ----------- ----------- ------------- A Joint Filing Agreement dated October 2 and 3, 1995 9 B Power of Attorney in favor of Eliot Lauer and N/A Jeremiah T. Mulligan granting each of them the power to file Schedule 13D and any amendments thereto on behalf of Mercotrust Limited, as Trustee of the Relatasi Trust C Power of Attorney in favor of Eliot Lauer and N/A Jeremiah T. Mulligan granting each of them the power to file this amendment to Schedule 13D on behalf of Isaac Herzog, as Protector of the Relatasi Trust D Agreement of Rescission, Repurchase and Settlement N/A dated as of November 1, 1995, between CPAC, Inc. and CPAC Investors, L.L.C. E Agreement of James Seldon, Jr. relating to voting of N/A Common Stock, dated October 31, 1995 F Agreement of Thomas N. Hendrickson relating to N/A voting of Common Stock, dated October 31, 1995 G Letter Agreement of Robert Oppenheimer relating to N/A voting of Common Stock, dated October 31, 1995 H Letter Agreement of S. Daniel Abraham relating to N/A voting of Common Stock, dated October 31, 1995 I Letter Agreement of Thomas N. Hendrickson
Page 7 of 10 Pages 8 relating to sale of Common Stock to CPAC N/A Investors, dated October 31, 1995 J Letter Agreement of Joseph E. Sheehan relating to N/A sale of Common Stock to CPAC Investors, dated November 1, 1995 K Letter Agreement of J. E. Sheehan & Company, Inc. N/A relating to soliciting votes of Common Stock, dated October 31, 1995. (A certain attachment to this Letter Agreement is not included as part of Exhibit K) L Subscription Agreement, dated December 28, 1996, N/A pursuant to which CPAC Investors purchased the 632,000 shares
Page 8 of 10 Pages EX-99.A 2 JOINT FILING AGREEMENT 1 Exhibit A-1 JOINT FILING AGREEMENT Each of the undersigned hereby agrees to the joint filing on behalf of each of them of a statement on Schedule 13D (including amendments thereto) with respect to the common stock, par value $0.01 per share, of CPAC, Inc. This Agreement may be executed in any number of counterparts all of which taken together shall constitute one and the same instrument. IN WITNESS WHEREOF, the undersigned hereby execute this Agreement this 3rd day of October, 1995. CPAC Investors, L.L.C. By: /s/ Eliot Lauer --------------------------- Eliot Lauer, Manager The Relatasi Trust By Mercotrust Limited, Trustee By:________________________________ Dr. Werner Keicher, Director By:________________________________ Dr. Guido Meier, Director ___________________________________ Mr. Isaac Herzog Page 9 of 10 Pages 2 Exhibit A-2 JOINT FILING AGREEMENT Each of the undersigned hereby agrees to the joint filing on behalf of each of them of a statement on Schedule 13D (including amendments thereto) with respect to the common stock, par value $0.01 per share, of CPAC, Inc. This Agreement may be executed in any number of counterparts all of which taken together shall constitute one and the same instrument. IN WITNESS WHEREOF, the undersigned hereby execute this Agreement this 2nd day of October, 1995. CPAC Investors, L.L.C. By:_____________________________ Eliot Lauer, Manager The Relatasi Trust By Mercotrust Limited, Trustee By: /s/ Werner Keicher ----------------------------- Dr. Werner Keicher, Director By: /s/ Guido Meier ----------------------------- Dr. Guido Meier, Director /s/ Issac Herzog -------------------------------- Mr. Isaac Herzog Page 10 of 10 Pages -----END PRIVACY-ENHANCED MESSAGE-----