-----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, BHiBVdaiAy8AmRI5i78v4sZfKwGtpzfLzJ0YdYNGm+KuGSt+ud0I/6QCzIyizMVE 7DE+Ht0+ZD130fdN02T1wQ== 0000899681-98-000257.txt : 19980421 0000899681-98-000257.hdr.sgml : 19980421 ACCESSION NUMBER: 0000899681-98-000257 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980420 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: JENNIFER CONVERTIBLES INC CENTRAL INDEX KEY: 0000806817 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FURNITURE STORES [5712] IRS NUMBER: 112824646 STATE OF INCORPORATION: DE FISCAL YEAR END: 0830 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: SEC FILE NUMBER: 005-40090 FILM NUMBER: 98597315 BUSINESS ADDRESS: STREET 1: 419 CROSSWAYS PK DR CITY: WOODBURY STATE: NY ZIP: 11797 BUSINESS PHONE: 5164961900 MAIL ADDRESS: STREET 1: 419 CROSSWAYS PARK DR STREET 2: 419 CROSSWAYS PARK DR CITY: WOODBURY STATE: NY ZIP: 11797 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BELFORD DAVID A CENTRAL INDEX KEY: 0001027067 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 2097 S HAMILTON ROAD, SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43232 BUSINESS PHONE: 6147552228 SC 13D/A 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 1)* JENNIFER CONVERTIBLES, INC. (Name of Issuer) COMMON STOCK (Title of Class of Securities) 476153101 (CUSIP Number) David A. Belford 2097 S. Hamilton Road, Suite 200 COLUMBUS, OHIO 43232 614-755-2228 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) APRIL 13, 1998 (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 / / 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 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 _____ Pages SCHEDULE 13D - ----------------------------- ---------------------------- CUSIP No. 476153101 Page of Pages - ----------------------------- ---------------------------- - ----------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON David A. Belford - ----------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| (b) |_| - ----------------------------------------------------------------------------- 3 SEC USE ONLY - ----------------------------------------------------------------------------- 4 SOURCE OF FUNDS* PF - ----------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |_| - ----------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION USA - ----------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER 394,000 SHARES ------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY ------------------------------------------------------------- EACH 9 SOLE DISPOSITIVE POWER 394,000 REPORTING ------------------------------------------------------------- PERSON WITH 10 SHARED DISPOSITIVE POWER - ----------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 394,000 - ----------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* |_| - ----------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 6.9% - ----------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - ----------------------------------------------------------------------------- This Amendment No. 1 amends the Schedule 13D dated November 6, 1997 filed by David A. Belford. Terms defined in the initial Schedule 13D shall have the same meaning when used herein. Item 3. SOURCE AND AMOUNT OF FUNDS OR OTHER Consideration. The aggregate purchase price of the additional securities of the Company acquired by Mr. Belford was approximately $126,000, all of which was obtained from his personal funds. Item 5. INTEREST IN SECURITIES OF THE ISSUER. David A. Belford owns 394,000 shares of Common Stock, which constitute approximately 6.9% of the outstanding shares of Common Stock of the Company. Exhibit A hereto sets forth transactions in shares of Common Stock of the Company effected by Mr. Belford during the 60-day period preceding the date hereof, the dates of such transactions and the purchase price per share (exclusive of commissions). All of such shares were purchased in brokerage transactions in open market purchases. 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. /s/ David A. Belford David A. Belford Dated: April 20, 1998 EXHIBIT A RECENT TRANSACTIONS IN SHARES The following table indicates shares of Common Stock acquired by Mr. Belford during the past sixty days. All transactions were effected in brokerage transactions in the over-the-counter market. Number of Date Shares Purchased Price Per Share ---- ---------------- --------------- 1/13/98 10,000 $2.0000 3/3/98 5,000 2.0000 3/4/98 10,000 2.0000 3/18/98 10,000 1.875 3/19/98 10,000 1.875 3/20/98 5,000 1.875 3/25/98 5,000 1.875 4/9/98 5,000 1.875 4/13/98 5,000 1.875 -----END PRIVACY-ENHANCED MESSAGE-----