-----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, MOcNiB4/cRaptaz7Sp/5I6Hoh7Nq+/nPLk1thrAnGL56aCIBb28IVtQB9so8yvp0 qdvcxVljf0eydwSvQwuhkA== 0001135432-02-000467.txt : 20021219 0001135432-02-000467.hdr.sgml : 20021219 20021218183455 ACCESSION NUMBER: 0001135432-02-000467 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021218 FILED AS OF DATE: 20021219 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: MEYERS JOHN W CENTRAL INDEX KEY: 0001205417 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 4463 PAHE E STREET STREET 2: SUITE 203 B CITY: LIHUS STATE: HI ZIP: 96766 BUSINESS PHONE: 6086520987 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TMI HOLDINGS INC/FL CENTRAL INDEX KEY: 0001016611 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS SHOPPING GOODS STORES [5940] IRS NUMBER: 650309540 STATE OF INCORPORATION: FL FISCAL YEAR END: 1227 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30011 FILM NUMBER: 02862284 BUSINESS ADDRESS: STREET 1: 3141 W HALLANDALE BEACH BOULEVARD CITY: HALLANDALE STATE: FL ZIP: 33009 BUSINESS PHONE: 954-985-8430 MAIL ADDRESS: STREET 1: 3141 W HALLANDALE BEACH BLVD CITY: HANNANDALE STATE: FL ZIP: 33009 FORMER COMPANY: FORMER CONFORMED NAME: THRIFT MANAGEMENT INC DATE OF NAME CHANGE: 19960711 3 1 doc1.txt ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0104 Expires: 01-31-2005 Estimated average burden hours per response 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ________________________________________________________________________________ 1. Name and Address of Reporting Person* Meyers John W. ________________________________________________________________________________ (Last) (First) (Middle) 4463 Pahe'e Street, Suite 203-B ________________________________________________________________________________ (Street) Lihue Hawaii 96766 ________________________________________________________________________________ (City) (State) (Zip) ________________________________________________________________________________ 2. Date of Event Requiring Statement (Month/Day/Year) December 18, 2002 ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ________________________________________________________________________________ 4. Issuer Name and Ticker or Trading Symbol TMI Holdings, Inc. (THMM) ________________________________________________________________________________ 5. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [_] 10% Owner [X] Officer (give title below) [_] Other (specify below) Chief Operating Officer ________________________________________________________________________________ 6. If Amendment, Date of Original (Month/Day/Year) ________________________________________________________________________________ 7. Individual or Joint/Group Filing (Check applicable line) [X] Form Filed by 1 Reporting Person [_] Form Filed by More than 1 Reporting Person ================================================================================ Table I -- Non-Derivative Securities Beneficially Owned ================================================================================
3. Ownership Form: 2. Amount of Securities Direct (D) or 1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5) N/A - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) SEC 1473 (09-02) FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
5. Owner- 3. Title and Amount of Securities ship Underlying Derivative Security Form of 2. Date Exercisable (Instr. 4) Derivative and Expiration Date --------------------------------- 4. Conver- Security: (Month/Day/Year) Amount sion or Direct 6. Nature of ---------------------- or Exercise (D) or Indirect Date Expira- Number Price of Indirect Beneficial 1. Title of Derivative Exer- tion of Derivative (I) Ownership Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr.5) - ---------------------------------------------------------------------------------------------------------------------------------- Series A Preferred (1) N/A N/A N/A N/A N/A D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------------------------------------------------
(1) Mr. Meyers is the record and beneficial owner of 125,000 shares of Series A Preferred Stock of TMI Holdings, Inc. The holder of the Preferred Stock is entitled to ten votes per share on all matters to be voted on by the shareholders. The Preferred Stock is not convertible into common stock. /s/ John W. Meyers 12/18/02 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date * If the form is filed by more than one person, see Instruction 5(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Page 2 -----END PRIVACY-ENHANCED MESSAGE-----