-----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, EPGsjtymtPLZC3KoWfQ0xvqJaiWBul+LZOLenv9vZgy6jpEzmL/CIvxcaFK4q2Ds 9W5ip/bEs+XaYN62bShxlQ== 0000950142-05-002891.txt : 20051104 0000950142-05-002891.hdr.sgml : 20051104 20051104161311 ACCESSION NUMBER: 0000950142-05-002891 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051102 FILED AS OF DATE: 20051104 DATE AS OF CHANGE: 20051104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MSC INDUSTRIAL DIRECT CO INC CENTRAL INDEX KEY: 0001003078 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-INDUSTRIAL MACHINERY & EQUIPMENT [5084] IRS NUMBER: 113289165 STATE OF INCORPORATION: NY FISCAL YEAR END: 0827 BUSINESS ADDRESS: STREET 1: 75 MAXESS RD CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 516-812-2000 MAIL ADDRESS: STREET 1: 151 SUNNYSIDE BLVD CITY: PLAINVIEW STATE: NY ZIP: 11803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBSON MITCHELL CENTRAL INDEX KEY: 0001008015 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14130 FILM NUMBER: 051180576 BUSINESS ADDRESS: STREET 1: MSC INDUSTRIAL DIRECT CO INC STREET 2: 75 MAXESA RD CITY: PLAINVIEW STATE: NY ZIP: 11747 BUSINESS PHONE: 5168122000 MAIL ADDRESS: STREET 1: 151 SUNNYDALE BLVD CITY: PLAINVIEW STATE: NY ZIP: 11803-1592 4 1 form4-mjacobson110205_ex.xml FORM 4 X0202 4 2005-11-02 0 0001003078 MSC INDUSTRIAL DIRECT CO INC MSM 0001008015 JACOBSON MITCHELL MSC INDUSTRIAL DIRECT CO., INC. 75 MAXESS ROAD MELVILLE NY 11747 1 1 1 0 Chairman and CEO Class A Common Stock 2005-11-02 4 C 0 400000 0.00 A 400000 I By trust Class A Common Stock 169669 D Class B Common Stock 2005-11-02 4 C 0 400000 D Class A Common Stock 400000 1100000 I By trust Class B Common Stock Class A Common Stock 946246 946246 I By trust Class B Common Stock Class A Common Stock 3000000 3000000 I By trust Class B Common Stock Class A Common Stock 7650706 7650706 D The shares of Class A Common Stock reported as being acquired by the Reporting Person on this report were acquired upon conversion of Class B Common Stock held by the Mitchell L. Jacobson 2005 Grantor Retained Annuity Trust #2 (the "Jacobson 2005 GRAT 2"). The Reporting Person is the Settlor and Trustee of the Jacobson 2005 GRAT 2. The Reporting Person disclaims beneficial ownership of the shares owned by the Jacobson 2005 GRAT 2. The Class B Common Stock is convertible into Class A Common Stock on a one-for-one basis The Class B Common Stock is immediately convertible into Class A Common Stock and does not expire. Includes 1,100,000 shares of Class B Common Stock as Settlor and Trustee of the Jacobson 2005 GRAT 2. The Reporting Person disclaims beneficial ownership of the shares held by the Jacobson 2005 GRAT 2. Includes 946,246 shares of Class B Common Stock as Trustee of the Marjorie Diane Gershwind 1994 Qualified Fifteen Year Annuity Interest Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Marjorie Diane Gershwind 1994 Qualified Fifteen Year Annuity Interest Trust. Includes 3,000,000 shares of Class B Common Stock as Settlor and Trustee of the Mitchell L. Jacobson 2005 Grantor Retained Annuity Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Mitchell L. Jacobson 2005 Grantor Retained Annuity Trust. /s/ J. Robert Small, Attorney-in-Fact 2005-11-04 -----END PRIVACY-ENHANCED MESSAGE-----