-----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, Cxlh6SNtJA+zFxGJ8lI8xK+wA4Jh6M4en25MCI1VaHXJQ7JCYSayE3vQWKCn3+Ue DPE6HUgXBx7V8RBrhj1DTw== 0001420506-10-000173.txt : 20100707 0001420506-10-000173.hdr.sgml : 20100707 20100707151824 ACCESSION NUMBER: 0001420506-10-000173 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100701 FILED AS OF DATE: 20100707 DATE AS OF CHANGE: 20100707 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAROSZ DENNIS CENTRAL INDEX KEY: 0001187055 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13612 FILM NUMBER: 10941855 MAIL ADDRESS: STREET 1: 3500 QUAKERBRIDGE RD CITY: MERCERVILLE STATE: NJ ZIP: 08619 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CONGOLEUM CORP CENTRAL INDEX KEY: 0000023341 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS PRODUCTS, NEC [3089] IRS NUMBER: 020398678 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3500 QUAKERBRIDGE RD STREET 2: PO BOX 3127 CITY: MERCERVILLE STATE: NJ ZIP: 08619-0127 BUSINESS PHONE: 6095843000 MAIL ADDRESS: STREET 1: 3500 QUAKERBRIDGE RD STREET 2: PO BOX 3127 CITY: MERCERVILLE STATE: NJ ZIP: 08619-0127 FORMER COMPANY: FORMER CONFORMED NAME: BATH INDUSTRIES INC DATE OF NAME CHANGE: 19750528 FORMER COMPANY: FORMER CONFORMED NAME: BATH IRON WORKS CORP DATE OF NAME CHANGE: 19670907 4 1 doc4_448.xml PRIMARY DOCUMENT X0303 4 2010-07-01 1 0000023341 CONGOLEUM CORP CGMC.PK 0001187055 JAROSZ DENNIS 3500 QUAKERBRIDGE RD P.O. BOX 3127 MERCERVILLE NJ 08619 0 1 0 0 S.V.P. Sales & Marketing Non- Qualified Stock Options (right to Buy) 2.05 2010-07-01 4 J 0 22500 D 2012-07-11 Class A Common Stock Par Value $0.01 22500 0 D Pursuant to the Fourth Amended Joint Plan of Reorganization under Chapter 11 of the Bankruptcy Code of the Company, et al., dated March 11, 2010 (as modified, the "Plan"), as modified and confirmed by the Order Confirming the Plan (the "Order") entered by the U.S. District Court for the District of New Jersey on June 7, 2010, as of July 1, 2010, all equity interests in the Company, including all shares of [Class A Common Stock], have been cancelled with holders of such equity interests retaining and receiving nothing on account of such equity interests. Exercisable 20% a year for 5 years beginning 7/11/2003. Dennis Jarosz 2010-07-06 -----END PRIVACY-ENHANCED MESSAGE-----