-----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, GdPeVovEimhZJgPfcgl0RCGEdzOHSgc8a3Yg8Eu4a33sPbPQpluU292DWyOW2cHt WuITzJ3RX0XUwNbfL1FJfA== 0000913569-98-000047.txt : 19980318 0000913569-98-000047.hdr.sgml : 19980318 ACCESSION NUMBER: 0000913569-98-000047 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980131 FILED AS OF DATE: 19980317 SROS: AMEX SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CROWLEY MILNER & CO CENTRAL INDEX KEY: 0000025871 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 380454910 STATE OF INCORPORATION: MI FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-01594 FILM NUMBER: 98567321 BUSINESS ADDRESS: STREET 1: 2301 W LAFAYETTE CITY: DETROIT STATE: MI ZIP: 48216 BUSINESS PHONE: 3139622400 MAIL ADDRESS: STREET 1: 2301 WEST LAFAYETTE CITY: DETROIT STATE: MI ZIP: 48216 COMPANY DATA: COMPANY CONFORMED NAME: RENTENBACH PAUL R CENTRAL INDEX KEY: 0001052071 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 2301 WEST LAFAYETTE CITY: DETRUIT STATE: MI ZIP: 48216 MAIL ADDRESS: STREET 1: 2301 WEST LAFAYETTE CITY: DETROIT STATE: MI ZIP: 48216 5 1 FORM 5 REPORT
FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL WASHINGTON, D.C. 20549 OMB Number 3235-0362 [ ] Check box if Expires: September 30, 1998 no longer subject Estimated average burden to Section 16 Form hours per response.....0.5 or Form 5 obligations. See instruction 1(b). [ ] Form 3 Holdings reported [X] Form 4 Transactions reported STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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*: Rentenbach Paul R. (Last) (First) (Middle) 1125 Three Mile (Street) Grosse Pointe Park MI 48230 (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: CROWLEY, MILNER AND COMPANY - COM 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: 1/98 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) 7. Individual or joint/group reporting (check applicable line) [X] Form Filed by One Reporting Person [ ] Form Filed by More Than One Reporting Person *If form is filed by more than one reporting person, see Instruction 4(b)(v). Table I--Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 6. 4. 5. Owner- Securities Acquired (A) Amount of ship 3. or Disposed of (D) Securities Form: 7. Transaction (Instr.3, 4 and 5) Beneficially Direct Nature of 2. Code ----------------------- Owned at End (D) or Indirect 1. Transaction (Instr.8) (A) of Issuer's Indirect Beneficial Title of Security Date ------------ or Fiscal Year (I) Ownership (Instr.3) (mm/dd/yy) Code V Amount (D) Price (Instr.3,4) (Instr.4) (Instr.4) - ----------------- ----------- ------------ ----------------------- ------------ --------- ---------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly 2 Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3): Director Stock Option 2. Conversion or Exercise Price of Derivative Security: $8.50 3. Transaction Date (Month/Day/Year): 5/21/97 4. Transaction Code (Instr. 8): A 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5): 2,000 6. Date Exercisable and Expiration Date (Month/Day/Year): Date Exercisable: * Expiration Date: 5/21/02 7. Title and Amount of Underlying Securities (Instr. 3 and 4): Title: Common Stock Amount or Number of Shares: 2,000 8. Price of Derivative Security (Instr. 5): 9. Number of Derivative Securities Beneficially Owned At End of Year (Instr. 4): 2,000 10. Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr. 4): D 11. Nature of Indirect Beneficial Ownership (Instr. 4): Explanation of Responses: *The undersigned, without any payment by the undersigned, was granted a non-qualified stock option to purchase 2,000 shares of the Company's Common Stock on May 21, 1997 under the Company's 1995 Director Stock Option Plan, a Rule 16b-3 Plan. The Option is exercisable in full on the date which is three months after the date of grant. /S/ PAUL R. RENTENBACH 3/16/98 **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: If space provided is insufficient, see Instruction 6 for procedures. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. SEC 2270 (7-96)
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