-----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, LVkA54642c1jXqTJVWeXEUpz4+P65ck75V0ELNh15uLzTeCWlYBdcB9qIr5Nf5kU IQ1c20sWitw0YTQFr2NymQ== 0000891618-02-001165.txt : 20020415 0000891618-02-001165.hdr.sgml : 20020415 ACCESSION NUMBER: 0000891618-02-001165 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020313 GROUP MEMBERS: DOUGLAS FAMILY TRUST GROUP MEMBERS: JAMES DOUGLAS AND JEAN DOUGLAS IRREVOCABLE DESCENDANTS TRUST SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HANSEN NATURAL CORP CENTRAL INDEX KEY: 0000865752 STANDARD INDUSTRIAL CLASSIFICATION: BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086] IRS NUMBER: 391679918 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-41221 FILM NUMBER: 02574212 BUSINESS ADDRESS: STREET 1: 2401 E KATELLA AVE STE 650 CITY: ANAHEIM STATE: CA ZIP: 92806 BUSINESS PHONE: 7146344200 MAIL ADDRESS: STREET 1: 2401 EAST KATELLA AVE CITY: ANAHEIM STATE: CA ZIP: 92806 FORMER COMPANY: FORMER CONFORMED NAME: UNIPAC CORP DATE OF NAME CHANGE: 19600201 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DOUGLAS KEVIN CENTRAL INDEX KEY: 0001132859 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 4040 CIVIC CENTER DRIVE CITY: SAN RAFAEL STATE: CA ZIP: 94903 MAIL ADDRESS: STREET 1: 4040 CIVIC CENTER DRIVE CITY: SAN RAFAEL STATE: CA ZIP: 94903 SC 13G/A 1 f79884sc13ga.txt AMENDMENT NO. 1 TO SCHEDULE 13G ------------------------ OMB APPROVAL ------------------------ OMB Number: 3235-0145 ------------------------ Expires: October 31,2002 Estimated average burden hours per response 14.9 ------------------------ SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 --------------- SCHEDULE 13G/A UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1)* Hansen Natural Corporation - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $0.005 par value per share - -------------------------------------------------------------------------------- (Title of Class of Securities) 411310-10-5 - -------------------------------------------------------------------------------- (CUSIP Number of Class of Securities) Cynthia Clarfield Hess Perkins Coie LLP 101 Jefferson Drive Menlo Park, California 94025-1114 (650) 838-4300 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) December 31, 2001 - -------------------------------------------------------------------------------- (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) (Continued on following pages) (Page 1 of 12 Pages) - ------------ *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). SCHEDULE 13G/A (AMENDMENT NO. 1) - ----------------------- CUSIP NO. 411310-10-5 - -------------------------------------------------------------------------------- Names of Reporting Persons 1 I.R.S. Identification Nos. of above persons (entities only) Kevin Douglas - -------------------------------------------------------------------------------- Check the Appropriate Box if a Member of a Group (See Instructions) 2 (a) [ ] (b) [X] Joint Filing - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States - -------------------------------------------------------------------------------- NUMBER OF 5 Sole Voting Power -0- SHARES ------------------------------------------------------------ BENEFICIALLY OWNED BY EACH 6 Shared Voting Power 706,911 REPORTING PERSON ------------------------------------------------------------ WITH 7 Sole Dispositive Power -0- ------------------------------------------------------------ 8 Shared Dispositive Power 706,911 - -------------------------------------------------------------------------------- Aggregate Amount Beneficially Owned by Each Reporting Person 9 706,911 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 7.0%(1) - -------------------------------------------------------------------------------- Type of Reporting Person 12 IN - -------------------------------------------------------------------------------- (1) Calculated based on 10,045,003 shares of Hansen Natural Corporation's Common Stock outstanding as of October 12, 2001, as reported in its quarterly report on Form 10-Q for the quarter ended September 30, 2001 and filed with the Securities and Exchange Commission on November 9, 2001. Page 2 of 12 SCHEDULE 13G/A (AMENDMENT NO. 1) - ----------------------- CUSIP NO. 411310-10-5 - -------------------------------------------------------------------------------- Names of Reporting Persons 1 I.R.S. Identification Nos. of above persons (entities only) Douglas Family Trust(1) - -------------------------------------------------------------------------------- Check the Appropriate Box if a Member of a Group (See Instructions) 2 (a) [ ] (b) [X] Joint Filing - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- CITIZENSHIP OR PLACE OF ORGANIZATION 4 California - -------------------------------------------------------------------------------- NUMBER OF 5 Sole Voting Power -0- SHARES ------------------------------------------------------------ BENEFICIALLY OWNED BY EACH 6 Shared Voting Power 706,911 REPORTING PERSON ------------------------------------------------------------ WITH 7 Sole Dispositive Power -0- ------------------------------------------------------------ 8 Shared Dispositive Power 706,911 - -------------------------------------------------------------------------------- Aggregate Amount Beneficially Owned by Each Reporting Person 9 706,911 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 7.0%(2) - -------------------------------------------------------------------------------- Type of Reporting Person 12 OO - -------------------------------------------------------------------------------- (1) James E. Douglas, Jr. and Jean A. Douglas, husband and wife, are trustees. (2) Calculated based on 10,045,003 shares of Hansen Natural Corporation's Common Stock outstanding as of October 12, 2001, as reported in its quarterly report on Form 10-Q for the quarter ended September 30, 2001 and filed with the Securities and Exchange Commission on November 9, 2001. Page 3 of 12 SCHEDULE 13G/A (AMENDMENT NO. 1) - ----------------------- CUSIP NO. 411310-10-5 - -------------------------------------------------------------------------------- Names of Reporting Persons 1 I.R.S. Identification Nos. of above persons (entities only) James Douglas and Jean Douglas Irrevocable Descendants' Trust(1) - -------------------------------------------------------------------------------- Check the Appropriate Box if a Member of a Group (See Instructions) 2 (a) [ ] (b) [X] Joint Filing - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- CITIZENSHIP OR PLACE OF ORGANIZATION 4 California - -------------------------------------------------------------------------------- NUMBER OF 5 Sole Voting Power -0- SHARES ------------------------------------------------------------ BENEFICIALLY OWNED BY EACH 6 Shared Voting Power 706,911 REPORTING PERSON ------------------------------------------------------------ WITH 7 Sole Dispositive Power -0- ------------------------------------------------------------ 8 Shared Dispositive Power 706,911 - -------------------------------------------------------------------------------- Aggregate Amount Beneficially Owned by Each Reporting Person 9 706,911 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 7.0%(2) - -------------------------------------------------------------------------------- Type of Reporting Person 12 OO - -------------------------------------------------------------------------------- (1) Kevin Douglas and Michelle Douglas, husband and wife, are trustees. (2) Calculated based on 10,045,003 shares of Hansen Natural Corporation's Common Stock outstanding as of October 12, 2001, as reported in its quarterly report on Form 10-Q for the quarter ended September 30, 2001 and filed with the Securities and Exchange Commission on November 9, 2001. Page 4 of 12 ITEM 1. (a) Name of Issuer: Hansen Natural Corporation (b) Address of Issuer's Principal Executive Offices: 1010 Railroad Street Corona, CA 92882 ITEM 2. (a) NAME OF PERSONS FILING: Reference is made to Row 1 of each of the cover pages of this Schedule, which Rows are incorporated by reference herein. (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: The address of each reporting person is 1101 Fifth Avenue, Suite 360, San Rafael, California 94901. (c) CITIZENSHIP: Reference is made to Row 4 of each of the cover pages of this Schedule, which Rows are incorporated by reference herein. (d) TITLE OF CLASS OF SECURITIES: Common Stock, $0.005 par value per share (e) CUSIP NUMBER: 411310-10-5 Page 5 of 12 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 a: (a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). (e) [ ] An investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E). (f) [ ] An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F). (g) [ ] A parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G). (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813). (i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3). (j) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(J). Not Applicable Page 6 of 12 Item 4. Ownership Reference is made to Rows 5-9 and 11 of each of the cover pages of this Schedule 13G/A, which Rows are incorporated by reference herein. According to Hansen Natural Corporation's quarterly report on Form 10-Q for the quarter ended September 30, 2001, as filed with the Securities and Exchange Commission on November 9, 2001, there were 10,045,003 shares of its Common Stock outstanding as of October 12, 2001. As of the date of filing of this Schedule 13G/A, the following reporting persons hold directly the following number of shares of Hansen Natural Corporation's Common Stock:
COMMON STOCK REPORTING PERSON DIRECTLY HELD ---------------- ------------- Kevin Douglas 252,682 Douglas Family Trust 227,820 James Douglas and Jean Douglas Irrevocable Descendants' Trust 226,409 Total 706,911
Each of the reporting persons may be deemed a member of a group that shares voting and dispositive power over all of the above securities. Although the reporting persons are reporting such securities as if they were members of a group, the filing of this Schedule 13G/A shall not be construed as an admission by any reporting person that such person is a beneficial owner of any securities other than those directly held by such person. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following: [ ] 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 THE GROUP Not applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not applicable. Page 7 of 12 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. Page 8 of 12 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. Date: March 13, 2002 /s/ Kevin Douglas -------------------------------- Kevin Douglas Page 9 of 12 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. Date: March 13, 2002 DOUGLAS FAMILY TRUST By:/s/ James E. Douglas, Jr. ----------------------------- James E. Douglas, Jr. Title: Trustee By: /s/ Jean A. Douglas ----------------------------- Jean A. Douglas Title: Trustee Page 10 of 12 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. Date: March 13, 2002 JAMES DOUGLAS AND JEAN DOUGLAS IRREVOCABLE DESCENDANTS' TRUST By: /s/ Kevin Douglas ----------------------------- Kevin Douglas Title: Trustee By: /s/ Michelle Douglas ----------------------------- Michelle Douglas Title: Trustee Page 11 of 12 EXHIBIT A JOINT FILING AGREEMENT This Joint Filing Agreement (this "Agreement") hereby confirms the agreement by and among all of the undersigned that the Schedule 13G/A to which this Agreement is attached as Exhibit A with respect to the beneficial ownership of the undersigned of shares of Hansen Natural Corporation's Common Stock, $0.005 par value per share, is being filed on behalf of each of the undersigned. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Date: March 13, 2002 /s/ Kevin Douglas ----------------------------- Kevin Douglas Date: March 13, 2002 DOUGLAS FAMILY TRUST By: /s/ James E. Douglas, Jr. ----------------------------- James E. Douglas, Jr. Title: Trustee By: /s/ Jean A. Douglas ----------------------------- Jean A. Douglas Title: Trustee Date: March 13, 2002 JAMES DOUGLAS AND JEAN DOUGLAS IRREVOCABLE DESCENDANTS' TRUST By: /s/ Kevin Douglas ----------------------------- Kevin Douglas Title: Trustee By: /s/ Michelle Douglas ----------------------------- Michelle Douglas Title: Trustee Page 12 of 12 -----END PRIVACY-ENHANCED MESSAGE-----