-----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, PgTbcM9K62dffmUR+WnPlG7z1kKh4IYUZ1JM8TKdfnFjol9G43th5OCNNvpSxeJ2 XvysrfCyppyrF1LblcPzYw== 0000950137-98-000637.txt : 19980223 0000950137-98-000637.hdr.sgml : 19980223 ACCESSION NUMBER: 0000950137-98-000637 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980210 FILED AS OF DATE: 19980220 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: KEEBLER FOODS CO CENTRAL INDEX KEY: 0001018848 STANDARD INDUSTRIAL CLASSIFICATION: COOKIES & CRACKERS [2052] IRS NUMBER: 361894790 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-13705 FILM NUMBER: 98546281 BUSINESS ADDRESS: STREET 1: 677 LARCH AVE CITY: ELMHURST STATE: IL ZIP: 60126 BUSINESS PHONE: 6308332900 FORMER COMPANY: FORMER CONFORMED NAME: KEEBLER CORP DATE OF NAME CHANGE: 19960715 COMPANY DATA: COMPANY CONFORMED NAME: ADAMS JOHN C JR CENTRAL INDEX KEY: 0001056193 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 4315 TUCKAHOE ROAD CITY: MEMPHIS STATE: TN ZIP: 38117 BUSINESS PHONE: 3125587342 MAIL ADDRESS: STREET 1: 4315 TUCKAHOE RD CITY: MEMPHIS STATE: TN ZIP: 38117 3 1 STATEMENT OF BENEFICIAL OWNERSHIP 1
UNITED STATES SECURITIES AND EXCHANGE COMMISSION ------------------------------- FORM 3 WASHINGTON, D.C. 20549 | OMB APPROVAL | |-----------------------------| | OMB Number: 3235-0104 | INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES | Expires: September 30, 1998 | | Estimated average burden | | hours per response......0.5 | |-----------------------------| 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 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* | 2. Date of Event Re- | 4. Issuer Name and Ticker or Trading Symbol | quiring Statement | ADAMS, Jr. JOHN C. | (Month/Day/Year) | KEEBLER FOODS COMPANY - ------------------------------------------ ----------------------------------------------------------------- (Last) (First) (Middle) | | 5. Relationship of Reporting Person(s) | 6. If Amendment, | 2/10/98 | to Issuer (Check all applicable) | Date of Original c/o Autozone ------------------------- __X__Director _____10% Owner | (Month/Day/Year) | 3. IRS or Social Se- | _____Officer (give _____Other (specify| - ------------------------------------------ curity Number of | title below) below) | (Street) | Reporting Person | ---------------------- P.O. Box 2198 | (Voluntary) | | 7. Individual or 123 S. Front Street | | | Joint/Group | | | Filing (Check | | | Applicable Line) | | | _x_ Form filed by | | | One Reporting | | | Person | | | ___ Form filed by | | | More than One Memphis TN 38101 | | __________________________________ | Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) | | | Table I -- Non-Derivative Securities Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security | 2. Amount of Securities | 3. Ownership | 4. Nature of Indirect Beneficial (Instr. 4) | Beneficially Owned | Form: Direct | Ownership (Instr. 5) | (Instr. 4) | (D) or Indirect | | | (I) (Instr. 5) | - ------------------------------------------------------------------------------------------------------------------------------------ | | | Common Stock, par value $.01 | 500 | D | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- Common Stock, par value $.01 | 300 | I | (a) - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- Common Stock, par value $.01 | 300 | I | (b) - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- Common Stock, par value $.01 | 300 | I | (c) - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- | | | - -----------------------------------------------|-----------------------------|--------------------|--------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 2
(a) The reporting person is trustee for the Alexandra Powell Adams Trust of which the beneficiary thereof is an immediate family member of the reporting person. (b) The reporting person is trustee for the Tucker Kirk Adams Trust of which the beneficiary thereof is an immediate family member of the reporting person. (c) The reporting person is trustee for the Palmer Scott Adams Trust of which the beneficiary is an immediate family member of the reporting person. 2 FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of | 2. Date Exer- | 3. Title and Amount | 4. Conversion or | 5. Ownership | 6. Nature Of Derivative | cisable and | of Securities | Exercise | Form of | Indirect Security (Instr. 4)| Expiration Date | Underlying | Price of | Derivative | Beneficial | (Month/Day/Year) | Derivative | Derivative | Security: | Ownership | | Security | Security | Direct (D) | (Instr. 5) | | (Instr. 4) | | or Indirect | | | | | (I) (Instr. 5) | |------------------------------------------------| | | | Date | Expira-| Title | Amount or | | | | Exer- | tion | | Number of | | | | cisable | Date | | Shares | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- | | | | | | | - ----------------------|---------|--------|---------------|-------------|--------------------|----------------------|---------------- Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal /s/ JOHN ADAMS 2/20/98 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) -------------------------------- ------------- ** Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. JOHN ADAMS If space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 2
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