-----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, ToErA43RBQLjmgh4psJWeBpEaqu19Plu326vJ/WWN0sxpzG1+N66ZyMV+MScW70+ sAulxjAFjyOqd89vABS0Jw== 0001193125-04-021398.txt : 20040212 0001193125-04-021398.hdr.sgml : 20040212 20040212163224 ACCESSION NUMBER: 0001193125-04-021398 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040212 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CENTRAL EUROPEAN DISTRIBUTION CORP CENTRAL INDEX KEY: 0001046880 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-BEER, WINE & DISTILLED ALCOHOLIC BEVERAGES [5180] IRS NUMBER: 541865271 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-56061 FILM NUMBER: 04592096 BUSINESS ADDRESS: STREET 1: PALM TOWER BUILDING STREET 2: 1343 MAIN STREET SUITE 301 CITY: SARASOTA STATE: FL ZIP: 34236 BUSINESS PHONE: 9413301558 MAIL ADDRESS: STREET 1: PALM TOWER BUILDING STREET 2: 1343 MAIN STREET SUITE 301 CITY: SARASOTA STATE: FL ZIP: 34236 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PETERSON JEFFREY CENTRAL INDEX KEY: 0001085102 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: PALM TOWER BUILDING STREET 2: 1343 MAIN STREET #301 CITY: SARSOTA STATE: FL ZIP: 34236 BUSINESS PHONE: 94133015598 MAIL ADDRESS: STREET 1: PALM TOWER BUILING STREET 2: 1343 MAIN STREET #301 CITY: SARASOTA STATE: FL ZIP: 34236 SC 13G/A 1 dsc13ga.htm SC 13G/A SC 13G/A

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

 

SCHEDULE 13G

 

 

Under the Securities Exchange Act of 1934

(Amendment No. 3)*

 

 

 

 

 

CENTRAL EUROPEAN DISTRIBUTION CORPORATION


(Name of Issuer)

 

 

Common Stock, $.01 par value


(Title of Class of Securities)

 

 

153435-10-2


                                (CUSIP Number)                                

 

 

December 31, 2003


(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨ Rule 13d-1(b)

 

¨ Rule 13d-1(c)

 

x Rule 13d-1(d)

 


*   The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 


CUSIP No. 153435-10-2   13G   Page 1 of 3 Pages

 


  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

            Jeffrey K. Peterson

   

  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  ¨

(b)  ¨

            Not Applicable

   

  3.  

SEC USE ONLY

 

 

   

  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            United States

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    SOLE VOTING POWER

 

        618,105


  6.    SHARED VOTING POWER

 

 


  7.    SOLE DISPOSITIVE POWER

 

        618,105


  8.    SHARED DISPOSITIVE POWER

 

 


  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            618,105

   

10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

¨

   

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

            5.74%

   

12.  

TYPE OF REPORTING PERSON*

 

            IN

   

 

*SEE INSTRUCTIONS BEFORE FILLING OUT!

 


CUSIP No. 153435-10-2

  13G   Page 2 of 3 Pages

 

Item 1(a).

  

Name of Issuer:

 

Central European Distribution Corporation

         

Item 1(b).

  

Address of Issuer’s Principal Executive Offices:

 

Palm Tower Building

1343 Main Street, Suite 301

Sarasota, FL 34236

         

Item 2(a).

  

Name of Person Filing:

 

Jeffrey K. Peterson

         

Item 2(b).

  

Address of Principal Business Office, or if None, Residence:

 

1707 Waldemere Street

Sarasota, FL 34239

         

Item 2(c).

  

Citizenship:

 

United States Citizen

         

Item 2(d).

  

Title of Class of Securities:

 

Common Stock par value $0.01 (the “Shares”)

         

Item 2(e).

  

CUSIP Number:    

 

153435-10-2

         

Item 3.

   If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: Not Applicable     


CUSIP No. 153435-10-2

  13G   Page 3 of 3 Pages

 

Item 4.   Ownership.

 

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

  (a) Amount beneficially owned:

 

As of December 31, 2003: Mr. Peterson was the beneficial owner of 618,105 Shares, consisting of 573,105 Shares of the Issuer’s Common Stock and options to purchase 45,000 Shares of the Issuer’s Common Stock that may be acquired within 60 days of December 31, 2003.

 

  (b) Percent of class:

 

As of December 31, 2003: The 618,105 Shares owned by Mr. Peterson constituted 5.74% of the Shares outstanding.

 

  (c) Number of shares as to which such person has:

 

(i) Sole power to vote or to direct the vote:

 

Mr. Peterson has the sole power to vote or direct the vote as to the 618,105 Shares owned by him.

 

(ii) Shared power to vote or to direct the vote: N/A

 

(iii) Sole power to dispose or to direct the disposition of:

 

Mr. Peterson has the sole power to dispose or to direct the disposition of the 618,105 Shares owned by him.

 

(iv) Shared power to dispose or to direct the disposition of: N/A

 

Item 5.   Ownership of Five Percent or Less of a Class.

 

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities check the following ¨.

 

Not Applicable


Item 6.

  

Ownership of More Than Five Percent on Behalf of Another Person.

         
    

Not Applicable.

         

Item 7.

   Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.          
     Not Applicable.          

Item 8.

  

Identification and Classification of Members of the Group.

         
    

Not Applicable.

         

Item 9.

  

Notice of Dissolution of Group.

         
    

Not Applicable.

         

Item 10.

  

Certifications.

         
    

Not Applicable.

         

 

 


SIGNATURE

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this Amendment No. 3 to Schedule 13G is true, complete and correct.

 

February 6, 2004             

     

/s/    Jeffrey K. Peterson         


            Jeffrey K. Peterson

 

Note. Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties for whom copies are to be sent.

 

Attention. Intentional misstatements or omissions of fact constitute federal criminal violations (see 18 U.S.C. 1001).

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