-----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, TMnyY0quCBms5sAxCFgCcXRdxq/GgsV3H5Krxy0gll51xlnZdU9b/zyeNM11r19c inpt9zqs9BK9EEW9W7rf9g== 0000898822-98-000062.txt : 19980113 0000898822-98-000062.hdr.sgml : 19980113 ACCESSION NUMBER: 0000898822-98-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971201 FILED AS OF DATE: 19980112 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMSCAN HOLDINGS INC CENTRAL INDEX KEY: 0001024729 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PAPER AND PAPER PRODUCTS [5110] IRS NUMBER: 133911462 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-21827 FILM NUMBER: 98505216 BUSINESS ADDRESS: STREET 1: 80 GRASSLANDS ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 9143452020 MAIL ADDRESS: STREET 1: 80 GRASSLANDS ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 COMPANY DATA: COMPANY CONFORMED NAME: HARRISON JAMES M CENTRAL INDEX KEY: 0001052627 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: AMSCAN HOLDINGS INC STREET 2: 80 GRASSLANDS ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 2129027202 MAIL ADDRESS: STREET 1: GOLDMAN, SACHS & CO. STREET 2: 85 BROAD ST CITY: NEW YORK STATE: NY ZIP: 10004 4 1 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ================================================================================ 1. Name and Address of Reporting Person* Harrison James M. - -------------------------------------------------------------------------------- (Last) (First) (Middle) Amscan Holdings, Inc. 80 Grasslands Road - -------------------------------------------------------------------------------- (Street) Elmsford New York 10523 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name and Ticker or Trading Symbol Amscan Holdings, Inc. (Nasdaq:AMSN) ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Statement for Month/Year December 1997 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [ X ] Officer (give title below) [ ] Other (specify below) President ================================================================================ 7. Individual or Joint/Group Filing (Check Applicable Line) [ X ] Form filed by one Reporting Person [ ] Form filed by more than one Reporting Person ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $0.10 per share 12/19/97 J(1) 5000 D $16.50 -0- D - ------------------------------------------------------------------------------------------------------------------------------------ 12/19/97 J(1) 15 A -- 15 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ Option (contingent Common right to buy) $12.00 12/19/97 J(2) 50,000 (2) (2) Stock 50,000 (2) -0- D - ------------------------------------------------------------------------------------------------------------------------------------ Common $54,545.00 12/19/97 J(2) 2.394 (2) (2) Stock 2.394 (2) 2.394 D - ------------------------------------------------------------------------------------------------------------------------------------ Common $75,000.00 12/19/97 A(2) 13.874 (2) (2) Stock 13.874 -- 13.874 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) On December 19, 1997, Confetti Acquisition, Inc., a newly organized Delaware corporation ("Acquisition") affiliated with GS Capital Partners II, L.P. and certain other private investment funds managed by Goldman, Sachs & Co., was merged with and into Amscan Holdings, Inc. (the "Company"), with the Company as the surviving corporation in the merger (the "Merger"). At the effective time of the Merger, each share of the Company's common stock, par value $0.10 per share, with certain exceptions, was converted, at the election of the holder thereof, into the right to receive from the Company following the Merger either $16.50 in cash (the "Cash Consideration"), or $9.33 in cash plus a retained interest in the Company equal to one share for every 150,000 shares so elected, with cash to be paid in lieu of fractional shares. Mr. Harrison tendered 5,000 shares of the Company's common stock in the Merger and elected to receive the Cash Consideration. Pursuant to Mr. Harrison's employment agreement with Acquisition, Mr. Harrison was granted 15 restricted shares of Acquisition's common stock at a per share price of $75,000.00 per share, which shares of Acquisition so acquired by Mr. Harrison were converted at the effective time of the Merger into 15 restricted shares of the Company's common stock (as the surviving corporation in the Merger). (2) In accordance with Mr. Harrison's employment agreement, and pursuant to the terms of the Company's stock incentive plan (the "Plan"), the related option agreement (with the Plan, the "Option Documents") and the rollover stock option agreement (the "Rollover Agreement") adopted by the Company at the effective time of the Merger, Mr. Harrison converted his options to purchase 50,000 shares of the Company's common stock prior to the Merger into options to purchase 2.394 shares of the Company's common stock (as the surviving corporation in the Merger), exercisable at a per share price of $54,545.00, and he received a cash payment of $176,531.57. The rollover options vest in equal annual installments of 20% per year over a five-year period. Unless sooner exercised or forfeited as provided in Option Documents and the Rollover Agreement, the options will expire on the tenth anniversary of the effective time of the Merger. Additionally, in accordance with the terms of Mr. Harrison's employment agreement, and pursuant to the terms of the Option Documents, Mr. Harrison was granted options to purchase 13.874 shares of the Company's common stock, exercisable at a per share price of $75,000.00. The options vest in equal annual installments of 20% per year over a five-year period and are subject to forfeiture upon termination of Mr. Harrison's employment if not vested and exercised within certain time periods specified in the Option Documents. Unless sooner exercised or forfeited as provided in the Option Documents, the options will expire on the tenth anniversary of the effective time of the Merger. /s/ James M. Harrison 1/9/98 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** 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 procedures. 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 (122797DTI) -----END PRIVACY-ENHANCED MESSAGE-----