0001209191-15-026461.txt : 20150316 0001209191-15-026461.hdr.sgml : 20150316 20150316161847 ACCESSION NUMBER: 0001209191-15-026461 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140312 FILED AS OF DATE: 20150316 DATE AS OF CHANGE: 20150316 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roundy's, Inc. CENTRAL INDEX KEY: 0001536035 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 272337996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 875 EAST WISCONSIN AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-231-5000 MAIL ADDRESS: STREET 1: 875 EAST WISCONSIN AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53202 FORMER COMPANY: FORMER CONFORMED NAME: Roundy's Parent Company, Inc. DATE OF NAME CHANGE: 20111130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STEIN AVY H CENTRAL INDEX KEY: 0001038635 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35422 FILM NUMBER: 15703148 MAIL ADDRESS: STREET 1: C/O INTERVAL LEISURE GROUP, INC. STREET 2: 6262 SUNSET DRIVE CITY: MIAMI STATE: FL ZIP: 33143 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-03-12 0 0001536035 Roundy's, Inc. RNDY 0001038635 STEIN AVY H 1033 SKOKIE BOULEVARD SUITE 360 NORTHBROOK IL 60062 1 0 1 0 Common Stock, par value $0.01 2015-03-12 4 A 0 21904 0.00 A 54280 D Common Stock, par value $0.01 61573 I See Footnote Common Stock, par value $0.01 213794 I See Footnote Common Stock, par value $0.01 213794 I See Footnote Common Stock, par value $0.01 7100496 I See Footnote Willis Stein & Partners III-C Sub, L.P. ("Fund III-C") is the record owner of these shares. Fund III General Partner is the sole general partner of Fund III-C. Management III is the sole general partner of Fund III General Partner. John R. Willis and Avy H.Stein ("Managing Partners") are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares. Willis Stein & Partners Dutch III-A Sub, L.P. ("Dutch III-A") is the record owner of these shares. Fund III General Partner is the sole general partner of Dutch III-A. Management III is the sole general partner of Fund III General Partner. John R. Willis and Avy H. Stein ("Managing Partners") are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares. Willis Stein & Partners Dutch III-B Sub, L.P. ("Dutch III-B") is the record owner of these shares. Fund III General Partner is the sole general partner of Dutch III-B. Management III is the sole general partner of Fund III General Partner. John R. Willis and Avy H. Stein ("Mangaing Partners") are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares. Willis Stein & Partners III Sub, L.P. ("Fund III") is the record owner of these shares. Willis Stein & Partners Management III, L.P. ("Fund III General Partner") is the sole general partner of Fund III. Willis Stein & Partners Management III, LLC ("Management III") is the sole general partner of Fund III General Partner. John R. Willis and Avy H. Stein ("Managing Partners") are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares. /s/ Edward G. Kitz, by power of attorney 2015-03-16