-----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, FAGF28QUKdg8XmVRi/c4p19l09jImr03p2nFIOe99+eSQtupUPhqbG2cfp9Uyi0+ XmJ+0JoaJAHSEx1p4CkVWg== 0000909012-99-000505.txt : 19990909 0000909012-99-000505.hdr.sgml : 19990909 ACCESSION NUMBER: 0000909012-99-000505 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990831 FILED AS OF DATE: 19990908 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TAM RESTAURANTS INC CENTRAL INDEX KEY: 0001048796 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 133905598 STATE OF INCORPORATION: DE FISCAL YEAR END: 0929 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-13811 FILM NUMBER: 99707329 BUSINESS ADDRESS: STREET 1: 1163 FORREST AVE. CITY: STATEN ISLAND STATE: NY ZIP: 10310 BUSINESS PHONE: 7187205959 MAIL ADDRESS: STREET 1: 1163 FORREST AVENUE CITY: STATEN ISLAND STATE: NY ZIP: 10310 COMPANY DATA: COMPANY CONFORMED NAME: SALVATORE PETER I CENTRAL INDEX KEY: 0001078870 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 35 SEAGATE RD CITY: STATEN ISLAND STATE: NY ZIP: 10305 BUSINESS PHONE: 7182734290 MAIL ADDRESS: STREET 1: 35 SEAGATE RD CITY: STATEN ISLAND STATE: NY ZIP: 10305 4 1 CHANGES IN BENEFICIAL OWNERSHIP U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP FORM 4 OMB APPROVAL --------------------------- [ ] CHECK THIS BOX IF NO LONGER OMB NUMBER 3235-0287 SUBJECT TO SECTION 16. EXPIRES: FEBRUARY 1, 1994 FORM 4 OR FORM 5 OBLIGATIONS EXTIMATED AVERAGE BURDEN MAY CONTINUE. SEE INSTRUCTION HOURS PER RESPONSE......0.5 1(b). 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 - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person Salvatore, Peter J. 35 Seagate Road Staten Island, NY 10310 - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Tam Restaurants, Inc. - -------------------------------------------------------------------------------- 3. IRS or Social Security Number or Reporting Person (Voluntary) - -------------------------------------------------------------------------------- 4. Statement for Month/Year August 31, 1999 - -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) - -------------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) _____________________________ - -------------------------------------------------------------------------------- TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - --------------------------------------------------------------------------------
1. Title 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of of Security action action or Disposed of (D) Securities Ship Form: Indirect Bene- (Instr. 3) Date Code (Instr. 3, 4 and 5) Beneficially Direct (D) ficial Owner- (Month/ (Instr.8) Owned at or Indirect ship Day/Year) ---------------------------------------------- End of Month (I) (Instr. 4) Code V Amount (A) or Price (Instr. 3 and 4) (Instr. 4) (D) - ------------------------------------------------------------------------------------------------------------------------------ Common Stock 8/26/99 P 25,000 (A) $1.375/Share 254,371 (D) - ------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) SEC 1474 (3/91) - -------------------------------------------------------------------------------- TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) - --------------------------------------------------------------------------------
1. Title 2. Conver- 3. Trans- 4. Transac- 5. Number 6. Date 7.Title and 8. Price 9. Number of 10. Owner- 11. Nature of Deriv- sion or action tion Code of Deriv- Exerciable Amount of of Deriva- Derivative ship Form of Indir- ative Exercise Date (Instr. 8) ative Se- and Expir- Underlying tive Secur- Securities of Deriv- ect Bene- Security Price of (Month/ curities ation Date Securities ity (Instr. Beneficially ative Se- ficial (Instr. 3) Derivative Day/Year) Acquired (Month/Day/ (Instr. 5) Owned at End curity: Ownership Security (A) or Year) 3 & 4) of Month Direct (Instr. 4) Disposed ------------------------- (Instr. 4) (D) or of (D) Date Expir- Amt. or Indirect (Instr. Exer- ation Title Num. of (I) (Instr. 3, 4 & 5) cisable Date Shares 4) --------------------- Code V (A) (D) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: * Includes 9,082 shares held by Peter and Gail Salvatore Foundation, Inc., a trust of which Peter and Gail Salvatore are the beneficiaries. ** 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 procedure. PETER J. SALVATORE 9/7/99 /s/__________________________________ _____________________ Peter J. Salvatore Date
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