-----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, C0mccxzQLvTV/QoQc+qb5hkD4IjlMVOQfGUdEQ+8FbO0gmipnJ9lkBQzbrJGBipt tH9DsFEMB62Jus/7pa9iWw== 0001231919-04-000023.txt : 20040128 0001231919-04-000023.hdr.sgml : 20040128 20040128103708 ACCESSION NUMBER: 0001231919-04-000023 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040128 ISSUER: 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 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAREY WILLIAM V CENTRAL INDEX KEY: 0001084505 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-24341 FILM NUMBER: 04547979 BUSINESS ADDRESS: STREET 1: PALM TOWER BUILDING STREET 2: 1343 MAIN STREET, #301 CITY: SARASOTA STATE: FL ZIP: 34236 BUSINESS PHONE: 9413301558 MAIL ADDRESS: STREET 1: PALM TOWER BUILDING STREET 2: 1343 MAIN STREET, #301 CITY: SARASOTA STATE: FL ZIP: 34236 5/A 1 edgar.xml PRIMARY DOCUMENT X0201 5/A 2003-12-31 2004-01-06 0 0 0001046880 CENTRAL EUROPEAN DISTRIBUTION CORP CEDC 0001084505 CAREY WILLIAM V 1602 COTTAGEWOOD DRIVE BRANDON FL 32511 1 1 1 0 Chief Executive Officer Common Stock 2003-12-17 5 G 0 1000 0 D 1735320 D Common Stock 2003-02-06 5 G 0 30000 0 D 1735320 D Includes (i) 949,710 shares of the common stock of the Issuer held directly by the Reporting Person; (ii) 755,610 shares of the common stock of the Issuer held in the name of the William V. Carey Stock Trust. Mr. Carey is the beneficiary of the shares held in the William V Carey Stock Trust and he will become the owner of these shares and may terminate the Trust on December 11, 2005; and (iii) 30,000 shares of the common stock of the Issuer held by Mr. Carey's wife. Mr. Carey disclaims beneficial ownership of those shares owned by his wife and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for purposes of Section 16. On February 6, 2003, the Reporting Person gifted 30,000 shares of the common stock of the Issuer to his wife. The amount of securities beneficially owned at the end of the Issuer's Fiscal Year Includes (i) 919,710 shares of the common stock of the Issuer held directly by the Reporting Person; (ii) 755,610 shares of the common stock of the Issuer held in the name of the William V. Carey Stock Trust. Mr. Carey is the beneficiary of the shares held in the William V Carey Stock Trust and he will become the owner of these shares and may terminate the Trust on December 11, 2005; and (iii) 60,000 shares held by Mr. Carey's wife. The Reporting Person disclaims beneficial ownership of those shares held by his wife and this report shall not be deemed an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16. William V. Carey 2004-01-28 -----END PRIVACY-ENHANCED MESSAGE-----