-----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, VSCIOJaTtw7+fnXcEJHygOFBRd0tHCZ4pyPLpUr634OXd4iAvoyc8JC2DLRxce2s pNojPHnc60b3mIakdzLYbw== 0001029869-99-000118.txt : 19990209 0001029869-99-000118.hdr.sgml : 19990209 ACCESSION NUMBER: 0001029869-99-000118 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990208 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BOSTON RESTAURANT ASSOCIATES INC CENTRAL INDEX KEY: 0000926295 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 611162263 STATE OF INCORPORATION: DE FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-49225 FILM NUMBER: 99523505 BUSINESS ADDRESS: STREET 1: 999 BROADWAY STREET 2: SUITE 400 CITY: SAUGUS STATE: MA ZIP: 01906-3209 BUSINESS PHONE: 7812317575 MAIL ADDRESS: STREET 1: 999 BROADWAY STREET 2: SUITE 400 CITY: SAUGUS STATE: MA ZIP: 01906-3206 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CHAPDELAINE GEORGE R CENTRAL INDEX KEY: 0000923198 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: C/O BOSTON RESTAURANT ASSOCIATES INC STREET 2: 999 BROADWAY CITY: SAUGUS STATE: MA ZIP: 01906 SC 13D 1 BOSTON RESTAURANT ASSOCIATES, INC. FORM SC 13D 1934 ACT FORMS II. SELECTED SCHEDULES UNDER THE SECURITIES EXCHANGE ACT OF 1934 A. SCHEDULE 13D INFORMATION REQUIREMENTS FOR FILINGS UPON ACQUISITION OF FIVE PERCENT OF A CLASS OF EQUITY SECURITIES SUBJECT TO THE REPORTING REQUIREMENTS OF THE 1934 ACT SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. _____) * Boston Restaurant Associates, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 101122109 Common Stock - -------------------------------------------------------------------------------- (CUSIP Number) George R. Chapdelaine, 999 Broadway, Suite 400, Saugus, MA 01906, (781) 231-7575 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) December 31, 1998 Annual Reporting - -------------------------------------------------------------------------------- (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 filed 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).
CUSIP No. 101122109 - --------------------------------------------------------------------------------------------------------------------------- (1) Names of Reporting Persons. S.S. or I.R.S. Identification Nos. of Above Per- sons George R. Chapdelaine - --------------------------------------------------------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member (a) of a Group (See instructions) (b) - --------------------------------------------------------------------------------------------------------------------------- (3) SEC Use Only - --------------------------------------------------------------------------------------------------------------------------- 1056 SCHEDULE 13D (4) Source of Funds (See Instructions) Personal Funds - ------------------------------------------------------------------------------------------------------------------------------ (5) Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) - ------------------------------------------------------------------------------------------------------------------------------ (6) Citizenship or Place of Organization U.S.A. - ------------------------------------------------------------------------------------------------------------------------------ Common Stock Common Stock Options ------------ -------------------- Number of Shares (7) Sole Voting Beneficially Owned Power 730,390 366,673 by Each Reporting ----------------------------------------------------------------------------------------------- Person With (8) Shared Voting N/A Power ------------------------------------------------------------------------------------------------ (9) Sole Dispositive Same as Number 7 Power ------------------------------------------------------------------------------------------------ (10) Shared Dispositive N/A Power - ------------------------------------------------------------------------------------------------------------------------------ Common Stock Common Stock Options ------------ -------------------- (11) Aggregate Amount Beneficially Owned by Each Reporting Person 730,390 366,673 - ------------------------------------------------------------------------------------------------------------------------------ (12) Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) N/A - ------------------------------------------------------------------------------------------------------------------------------ (13) Percent of Class Represented by Amount in Row (11) 10.40% Common Stock 20.77% Common Stock Options - ------------------------------------------------------------------------------------------------------------------------------ (14) Type of Reporting Person (See Instructions) George R. Chapdelaine (IN) - ------------------------------------------------------------------------------------------------------------------------------
SCHEDULE 13D - 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 4, 1999 - -------------------------------------------- (Date) /s/ George R. Chapdelaine ------------------------------- George R. Chapdelaine -----END PRIVACY-ENHANCED MESSAGE-----