-----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, GJY+R6ijEz4JBhGDb2IlXFp3VvaTIHG8IMdpvZY6NOCIUCgrWo/OTWVLF0ckjtmP mY2vDR+/gdaYWf/ek9uUzg== 0000950142-97-000407.txt : 19970526 0000950142-97-000407.hdr.sgml : 19970526 ACCESSION NUMBER: 0000950142-97-000407 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970513 FILED AS OF DATE: 19970523 SROS: AMEX SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EMPIRE OF CAROLINA INC CENTRAL INDEX KEY: 0000312840 STANDARD INDUSTRIAL CLASSIFICATION: GAMES, TOYS & CHILDREN'S VEHICLES (NO DOLLS & BICYCLES) [3944] IRS NUMBER: 132999480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07909 FILM NUMBER: 97613461 BUSINESS ADDRESS: STREET 1: 5150 LINTEN BLVD CITY: DEL RAY BEACH STATE: FL ZIP: 33484 BUSINESS PHONE: 4074984000 MAIL ADDRESS: STREET 1: P O BOX 4000 CITY: TARBORO STATE: NC ZIP: 27886 COMPANY DATA: COMPANY CONFORMED NAME: HOLMES CHARLES S CENTRAL INDEX KEY: 0000901020 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 3555 CURTIS BLVD CITY: CLEVELAND STATE: OH ZIP: 44059 BUSINESS PHONE: 2169462525 3 1
U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 -------------------------------- OMB APPROVAL - ----------------------------------- -------------------------------- FORM 3 OMB Number: 3235-0104 - ----------------------------------- Expires: September 30, 1998 Estimated average burden hours per response .... 0.5 --------------------------------
1. Name and Address of Reporting Person * HOLMES CHARLES S. (Last) (First) (Middle) P.O. Box 2850 (Street) Southampton NY 11969 (City) (State) (Zip) 2. Date of Event Requiring Statement ( Month / Day / Year ) 5/13/97 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Issuer Name and Ticker or Trading Symbol EMPIRE OF CAROLINA, INC. (EMP) 5. Relationship of Reporting Person to Issuer (Check all applicable) X Director 10% Owner ----- ----- Officer (give title Other ----- below) ----- (specify below) ---------------------------------------- 6. If Amendment, Date or Original (Month/Year) 7. Individual or Join/Group Filing (Check Applicable Line) X Form filed by One Reporting Person ----- Form filed by More than One Reporting Person -----
TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED 1. Title of security 2. Amount of Securities 3. Ownership 4. Nature of Indirect (Inst.4) Beneficially Owned Form: Direct (D) Beneficial Ownership (Instr. 4) or Indirect (I) (Instr. 5) (Inst. 5) - ---------------------------------------------- ------------------------------ ------------------- ------------------------------- None - ---------------------------------------------- ------------------------------ ------------------- ------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the Form is filed by more than one reporting person, SEE instruction 5(b)(v). SEC 1473(8-92)
FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) 1. Title of Derivative Security 2. Date Exercisable and 3. Title and Amount of Securities Underlying (Instr. 4) Expiration Date Derivative Security (Instr. 4) (Month/Day/Year) Amount or Date Expiration Title Number of Exercisable Date Shares - --------------------------------------------------- ----------- ----------- ---------------------- ----------------------------- - --------------------------------------------------- ----------- ----------- ---------------------- ----------------------------- 4. Conversion or 5. Ownership 6. Nature of Indirect Exercise Price of Form of Beneficial Ownership Derivative Derivative (Instr. 5) Security Security: Direct (D) or Indirect (I) (Instr. 5) - ---------------------------- --------------------- ------------------------------------------------ - ---------------------------- --------------------- ------------------------------------------------
Explanation of Responses: **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. /S/ CHARLES S. HOLMES May 23, 1997 - ----------------------------------------------- ---------------------- **Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----