-----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, LtUMcz8ybTtDP1lnTtz6I4KFcfDj405By5UwrZLjjdArOlf7WpuDQUT6Trm+m+wC A9/5bBNel0pTaDdgj3w3AQ== 0000950152-96-000337.txt : 19960207 0000950152-96-000337.hdr.sgml : 19960207 ACCESSION NUMBER: 0000950152-96-000337 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960206 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAX & ERMAS RESTAURANTS INC CENTRAL INDEX KEY: 0000706471 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 311041397 STATE OF INCORPORATION: DE FISCAL YEAR END: 1026 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-34882 FILM NUMBER: 96511806 BUSINESS ADDRESS: STREET 1: 4849 EVANSWOOD DR CITY: COLUMBUS STATE: OH ZIP: 43229 BUSINESS PHONE: 6144315800 MAIL ADDRESS: STREET 1: 4849 EVANSWOOD DRIVE CITY: COLUMBUS STATE: OH ZIP: 43229 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BARNUM TODD B CENTRAL INDEX KEY: 0000905121 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: MAX & ERMA'S RESTAURANT INC STREET 2: 4849 EVANSWOOD DRIVE CITY: COLUMBUS STATE: OH ZIP: 43229 BUSINESS PHONE: 6144315800 MAIL ADDRESS: STREET 1: MAX & ERMA'S RESTAURANTS INC STREET 2: 4849 EVANSWOOD DRIVE CITY: COLUMBUS STATE: OH ZIP: 43229 SC 13G/A 1 MAX & IRMA'S RESTAURANT SC 13G/A 1 SCHEDULE 13G CUSIP NO. - ----------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON TODD B. BARNUM SSN: ###-##-#### - -------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] ---- (b) [ ] ---- - -------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* - -------------------------------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] ---- - -------------------------------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION UNITED STATES - ------------------------------------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES 447,918 ------------------------------------------------------------------------ BENEFICIALLY 8 SHARED VOTING POWER OWNED BY ------------------------------------------------------------------------ EACH 9 SOLE DISPOSITIVE POWER REPORTING 447,918 PERSON ------------------------------------------------------------------------ 10 SHARED DISPOSITIVE POWER WITH - ------------------------------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 447,918 - -------------------------------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* Includes 402 shares owned by Mr. Barnum's spouse and 21,450 shares owned by Mr. [ x ] Barnum's children, as to which Mr. Barnum disclaims beneficial ownership. ---- - -------------------------------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 10.60% - -------------------------------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - -----------------------------------------------------------------------------------------------------------
2 Item 1. (a) Name of Issuer: Max & Erma's Restaurants, Inc. (b) Address of Issuer's Principal Executive Offices: 4849 Evanswood Drive, Columbus, Ohio 43229 Item 2. (a) Name of Person Filing: Todd B. Barnum (b) Address of Principal Business Office, or, if none, Residence: 4849 Evanswood Drive, Columbus, Ohio 43229 (c) Citizenship: Mr. Barnum is a United States Citizen (d) Title of Class of Securities: common stock, $.10 par value (e) CUSIP Number: 577903 10 7 Item 3. Not Applicable Item 4. (a) Amount Beneficially Owned: 447,918 shares (Includes 97,625 shares which Mr. Barnum has a right to purchase under presently exercisable options. Also includes 402 shares owned by Mr. Barnum's spouse and 21,450 shares owned by Mr. Barnum's children, as to which Mr. Barnum disclaims beneficial ownership.) (b) Percent of Class: 10.60% (c) Number of shares as to which such persons have: (i) sole power to vote or to direct the vote: 447,918 (ii) shares power to vote or to direct the vote: 0 shares (iii) sole power to dispose or to direct the disposition of: 447,918 (iv) shares power to dispose or to direct the disposition of: 0 shares 3 Item 5. Ownership of Five Percent of Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent Behalf of Another Person. Not Applicable. Item 7. Indemnification and Classification of the Subsidiary which Acquired the Security Being Reported on By the Parent Holding Company. Not Applicable. Item 8. Indemnification and Classification of Members of the Group. Not Applicable. Item 9. Notice of Dissolution of Group. Not Applicable. Item 10. Certification. Not Applicable. SIGNATURES After reasonable inquiry and to the best of his knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. Dated: January 31, 1996 /s/Todd B. Barnum _________________ Todd B. Barnum -----END PRIVACY-ENHANCED MESSAGE-----