-----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, WZ2NHc+9SRGRQtkzeGrCpbfpVwHZJtYZo+3KdmY5u1s0uw3NxngLAPGN2enREnkg QcOVNV1wc7ZD8U2w289cbA== 0000950144-98-001359.txt : 19980218 0000950144-98-001359.hdr.sgml : 19980218 ACCESSION NUMBER: 0000950144-98-001359 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980213 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHECKERS DRIVE IN RESTAURANTS INC /DE CENTRAL INDEX KEY: 0000879554 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 581654960 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-42091 FILM NUMBER: 98535954 BUSINESS ADDRESS: STREET 1: 600 CLEVELAND ST 8TH FL STREET 2: STE 1050 CITY: CLEARWATER STATE: FL ZIP: 34615 BUSINESS PHONE: 8134413500 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BROWN JARED D CENTRAL INDEX KEY: 0000902724 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 121 NORTH OSCEOLA STREET 2: SUITE 306 CITY: CLEARWATER STATE: FL ZIP: 346515 BUSINESS PHONE: 8134436488 MAIL ADDRESS: STREET 1: 121 NORTH OSCEOLA STREET 2: SUITE 306 CITY: CLEARWATER STATE: FL ZIP: 34615 SC 13G/A 1 CHECKERS DRIVE-IN SC 13G/A FOR JARED D. BROWN 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (AMENDMENT NO. 6) CHECKERS DRIVE-IN RESTAURANTS, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, $.001 PAR VALUE - -------------------------------------------------------------------------------- (Title of Class of Securities) 162809 10 7 - -------------------------------------------------------------------------------- (CUSIP Number) * 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 in 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). 2 CUSIP NO. 162809 10 7 13G Page 2 of 5 - -------------------------------------------------------------------------------- 1) Names of Reporting Persons/ I.R.S. Identification Nos. of Above Persons (Entities Only) JARED D. BROWN - -------------------------------------------------------------------------------- 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization United States - -------------------------------------------------------------------------------- Number of (5) Sole Voting Power Shares 2,413,778* Beneficially Owned by (6) Shared Voting Power Each 11,502 Reporting Person (7) Sole Dispositive Power With 2,413,778* (8) Shared Dispositive Power 11,502 * Includes 145,000 shares which Mr. Brown has a presently exercisable option to acquire. - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 2,425,280 - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row (9) 3.5% - -------------------------------------------------------------------------------- 12) Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- 3 CUSIP NO. 162809 10 7 13G Page 3 of 5 - -------------------------------------------------------------------------------- SCHEDULE 13G - TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(b) OR 13d-2(b) Item 1(a). Name of Issuer: CHECKERS DRIVE-IN RESTAURANTS, INC. Item 1(b). Address of Issuer's Principal Executive Offices: 600 CLEVELAND STREET, EIGHTH FLOOR BARNETT BANK BUILDING CLEARWATER, FL 33755 Item 2(a). Name of Person Filing: JARED D. BROWN Item 2(b). Address of Principal Business Office or, if none, Residence: 121 N. OSCEOLA AVENUE SUITE 301 CLEARWATER, FL 33755 Item 2(c). Citizenship: UNITED STATES Item 2(d). Title of Class of Securities: COMMON STOCK, $.001 PAR VALUE Item 2(e). CUSIP Number: 162809 10 7 Item 3(a). If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b), check whether the filing person is a: (a) [ ] Broker or Dealer registered under Section 15 of the Act; (b) [ ] Bank as defined in Section 3(a)(6) of the Act; (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act; (d) [ ] Investment Company registered under Section 8 of the Investment Company Act; (e) [ ] Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940; 4 CUSIP NO. 162809 10 7 13G Page 4 of 5 - -------------------------------------------------------------------------------- (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974, or Endowment Fund; see Rule 13d-1(b)(1)(ii)(F); (g) [ ] Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G) (Note: See Item 7); (h) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H) Item 4. Ownership: If the percent of the class owned, as of December 31, of the year covered by the statement, or as of the last day of any month described in Rule 13d-1(b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) Amount Beneficially Owned: 2,425,280* (b) Percent of Class: 3.5% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 2,413,778* (ii) shared power to vote or to direct the vote: 11,502 (iii) sole power to dispose or to direct the disposition of: 2,413,778* (iv) shared power to dispose or to direct the disposition of: 11,502 * includes 145,000 shares which Mr. Brown has a presently exercisable option to acquire. 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: [X] 5 CUSIP NO. 162809 10 7 13G Page 5 of 5 - -------------------------------------------------------------------------------- Item 6. Ownership of More than Five Percent on Behalf of Another Person: N/A Item 7: Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: N/A Item 8: Identification and Classification of Members of the Group: N/A Item 9: Notice of Dissolution of Group: N/A Item 10: Certification: N/A 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. February 9, 1998 /s/ Jared D. Brown --------------------------- JARED D. 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