-----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, V8iBkeAdX4GUc+kzLx404m17v0OzFsUDpxVWfV8uE2dNHlFU7Fjd/sToYurwT+wQ VFY5qMNwjNEUdA/mQUhYKg== 0000913569-99-000010.txt : 19990112 0000913569-99-000010.hdr.sgml : 19990112 ACCESSION NUMBER: 0000913569-99-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990111 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: 4 SEC ACT: SEC FILE NUMBER: 001-01594 FILM NUMBER: 99504239 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: 4 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 4 1 FORM 4 REPORT
FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL WASHINGTON, D.C. 20549 OMB Number 3235-0287 Expires: Sept. 30, 1998 Estimated average burden hours per response...0.5 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 [ ] Check this box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). 1. Name and Address of Reporting Person ------------------------------------ Rentenbach Paul Robert (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): N/A 4. Statement for Month/Year: December 1998 5. If Amendment, Date of Original (Month/Year): N/A 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 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 Month Indirect Beneficial Title of Security Date ------------ or (Instr. 3 (I) Ownership (Instr.3) (mm/dd/yy) Code V Amount (D) Price and 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): Option to purchase common stock 2. Conversion or Exercise Price of Derivative Security: Fair Market Value, but not less than $7.50 nor more than $12.00 per share. 3. Transaction Date (mm/dd/yy): December 15, 1998 4. Transaction Code (Instr. 8)-- Code: J (1) V: n/a 5. Number of Derivative Securities Acquired (A) or Disposed of (D)(Instr. 3, 4 and 5)-- (A): -0- (D): 100,000 6. Date Exercisable and Expiration Date-- Date Exercisable: June 30, 1998 Expiration Date: June 30, 1999 7. Title and Amount of Underlying Securities (Instr. 3 and 4)-- Title: Common Stock Amount or Number of Shares: 100,000 shares 8. Price of Derivative Security (Instr. 5): n/a 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4): -0- 10. Ownership of Derivative Security: Direct (D) or Indirect (I)(Instr. 4): n/a 11. Nature of Indirect Beneficial Ownership (Instr. 4): n/a Explanation of Responses: (1) The option was surrendered to Joseph Keys by Mr. Rentenbach. /S/ PAUL R. RENTENBACH **Signature of Reporting Person Date: January 11, 1999 ** 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 procedures. SEC 1473(7-96)
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