-----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, RtbIY8Zri6i4eeT524tpLk7RREazghKyDhsIjujfy4vj9Azcgh01YRncMKx0idKC SL1az/lFiI00alqu7TSw0A== 0000898432-08-000271.txt : 20080313 0000898432-08-000271.hdr.sgml : 20080313 20080313170028 ACCESSION NUMBER: 0000898432-08-000271 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20080313 DATE AS OF CHANGE: 20080313 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CASH SYSTEMS INC CENTRAL INDEX KEY: 0000861050 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 870398535 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-56881 FILM NUMBER: 08686746 BUSINESS ADDRESS: STREET 1: 7350 DEAN MARTIN DRIVE STREET 2: SUITE 309 CITY: LAS VEGAS STATE: NV ZIP: 89139 BUSINESS PHONE: 7029877169 MAIL ADDRESS: STREET 1: 7350 DEAN MARTIN DRIVE STREET 2: SUITE 309 CITY: LAS VEGAS STATE: NV ZIP: 89139 FORMER COMPANY: FORMER CONFORMED NAME: UNISTONE INC DATE OF NAME CHANGE: 19990709 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Cookie Jar LLC CENTRAL INDEX KEY: 0001429231 IRS NUMBER: 134151747 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 860 CANAL STREET STREET 2: 3RD FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 BUSINESS PHONE: 203 353 7600 MAIL ADDRESS: STREET 1: 860 CANAL STREET STREET 2: 3RD FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 SC 13G 1 schedule13g.txt - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G (RULE 13D-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13D-1(B) (C) AND (D) AND AMENDMENTS THERETO FILED PURSUANT TO 13D-2(B) CASH SYSTEMS INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 14756B102 - -------------------------------------------------------------------------------- (CUSIP Number) MARCH 6, 2008 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [X] 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 the 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 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). - -------------------------------------------------------------------------------- - ------------------- ------------------ CUSIP NO. 14756B102 13G PAGE 2 OF 7 PAGES - ------------------- ------------------ - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON: COOKIE JAR LLC - ------------------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /X/ (b) / / - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 SHARES ---------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED 789,128 BY ---------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 0 PERSON ---------------------------------------------------------- WITH: 8 SHARED DISPOSITIVE POWER 789,128 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 789,128 - -------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 4.3% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* OO - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - ------------------- ------------------ CUSIP NO. 14756B102 13G PAGE 3 OF 7 PAGES - ------------------- ------------------ - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON: DAVID B. WILLIAMS - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /X/ (b) / / - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 SHARES ---------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED 984,597 BY ---------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 0 PERSON ---------------------------------------------------------- WITH: 8 SHARED DISPOSITIVE POWER 984,597 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 984,597 - -------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 5.3% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN, HC - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - ------------------- ------------------ CUSIP NO. 14756B102 13G PAGE 4 OF 7 PAGES - ------------------- ------------------ - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON: WILLIAMS COOKIE JAR FOUNDATION - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /X/ (b) / / - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION CONNECTICUT - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 SHARES ---------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED 195,469 BY ---------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 0 PERSON ---------------------------------------------------------- WITH: 8 SHARED DISPOSITIVE POWER 195,469 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 195,469 - -------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 1.0% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - ------------------- ------------------ CUSIP NO. 14756B102 13G PAGE 5 OF 7 PAGES - ------------------- ------------------ ITEM 1(A). NAME OF ISSUER: Cash Systems Inc. ("CSI") ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 7350 Dean Martin Drive Suite 309 Las Vegas, Nevada 89139 ITEM 2(A). NAME OF PERSON FILING: This Schedule 13G is being filed on behalf of the following persons (the "Reporting Persons"): Cookie Jar LLC ("Cookie Jar") David B. Williams ("Mr. Williams") Williams Cookie Jar Foundation ("Foundation") ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE: The principal business office of the Reporting Persons filing this Schedule 13G is located at 860 Canal Street, 3[rd] Floor, Stamford, CT 06902. ITEM 2(C). CITIZENSHIP: Cookie Jar a Delaware limited liability company Mr. Williams a US citizen Foundation a Connecticut non-profit corporation ITEM 2(D). TITLE OF CLASS OF SECURITIES: This Schedule 13G is being filed with respect to the common stock, par value $0.001 per share ("Common Stock"), of CSI. The Reporting Persons' percentage ownership of Common Stock is based on 18,446,163 shares of Common Stock being outstanding. As of March 6, 2008, Cookie Jar beneficially owned 789,128 shares of Common Stock, Mr. Williams beneficially owned 984,597 shares of Common Stock and Williams Cookie Jar Foundation beneficially owned 195,469 shares of Common Stock. ITEM 2(E). CUSIP NUMBER: 14756B102 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - ------------------- ------------------ CUSIP NO. 14756B102 13G PAGE 6 OF 7 PAGES - ------------------- ------------------ ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13D-1(B), OR 13D-2(B) OR (C) CHECK WHETHER THE PERSON FILING IS: ONE OF THE FOLLOWING Not applicable as this Schedule 13G is filed pursuant to Rule 13d-1(c). ITEM 4. OWNERSHIP: The information in items 1 and 5 through 11 on the cover pages (pp. 2 - 4) on this Schedule 13G is hereby incorporated by reference. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: Not applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON: Not applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY: Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF A GROUP: Please see Exhibit A attached --------- ITEM 9. NOTICE OF DISSOLUTION OF GROUP: Not applicable. - -------------------------------------------------------------------------------- - ------------------- ------------------ CUSIP NO. 14756B102 13G PAGE 7 OF 7 PAGES - ------------------- ------------------ ITEM 10. CERTIFICATION By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 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: March 13, 2008 COOKIE JAR LLC DAVID B. WILLIAMS By: --------------------- ----------------------- David B. Williams David B. Williams Manager WILLIAMS COOKIE JAR FOUNDATION By: _____________________ David B. Williams Sole Trustee EXHIBIT A The members of the group making this filing on Schedule 13G are: Cookie Jar LLC, Mr. Williams and Williams Cookie Jar Foundation. EXHIBIT B In accordance with Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, each of the undersigned does hereby consent and agree to the joint filing on behalf of each of them of a statement on Schedule 13G and all amendments thereto with respect to the common stock of Cash Systems Inc. beneficially owned by each of them, and the inclusion of this Joint Filing Agreement as an exhibit thereto. Dated: March 13, 2008 COOKIE JAR LLC DAVID B. WILLIAMS By: --------------------- ----------------------- David B. Williams David B. Williams Manager WILLIAMS COOKIE JAR FOUNDATION By: _____________________ David B. Williams Sole Trustee -----END PRIVACY-ENHANCED MESSAGE-----