-----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, T6x3Qpe/8Gusyhm5XqpVyJSEh9bQS0M2h6WrDdBruDF5nNlIRHVxcM6COUJEVQry HSktt5oag0u8Xg2LTSnlgg== 0000950142-97-000522.txt : 19970701 0000950142-97-000522.hdr.sgml : 19970701 ACCESSION NUMBER: 0000950142-97-000522 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970618 FILED AS OF DATE: 19970630 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: 97633087 BUSINESS ADDRESS: STREET 1: 501 DANIEL ST STREET 2: PO BOX 4000 CITY: TARBORO STATE: NC ZIP: 27886-4000 BUSINESS PHONE: 9198234111 MAIL ADDRESS: STREET 1: P O BOX 4000 CITY: TARBORO STATE: NC ZIP: 27886 COMPANY DATA: COMPANY CONFORMED NAME: TELCOM PARTNERS LP CENTRAL INDEX KEY: 0001041744 STANDARD INDUSTRIAL CLASSIFICATION: [] OTHER IRS NUMBER: 521841954 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 235 SUNRISE AVE STREET 2: STE 3224 CITY: PALM BEACH STATE: FL ZIP: 33480 MAIL ADDRESS: STREET 1: 235 SUNRISE AVE STREET 2: STE 3224 CITY: PALM BEACH STATE: FL ZIP: 33480 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 1. Name and Address of Reporting Person* TelCom, L.P. (Last) (First) (Middle) 235 Sunrise Avenue (Street) Palm Beach Florida 33480 (City (State) (Zip) 2. Date of Event Requiring Statement (Month / Day / Year) 6/18/97 3. IRS or Social Security Number of Person Reporting (Voluntary) 4. Issuer Name and Ticker or Trading Symbol EMPIRE OF CAROLINA, INC. (EMP) 5. Relationship of Reporting Person to Issuer (Check all applicable) Director 10% Owner ------ ------ Officer (give title below) X Other (specify ------ ------ below) CONTROLLED BY A 10% OWNER 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Join/Group Filing 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 Beneficial Ownership (Instr. 4) (D) or Indirect (Instr. 5) (I) (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 (Instr. 4) Expiration Date Underlying Derivative Security (Month/Day/Year) (Instr. 4) Date Expiration Amount or Exercisable Date Title Number of Shares - -------------------------------------- ----------- ----------- ------------- ------------------- Shares of Series A Preferred Stock Immediat. 05/06/03 Common Stock 500,000 Warrant to Purchase Common Stock Immediat. 05/06/03 Common Stock 62,500 4. Conversion or 5. Ownership Form 6. Nature of Indirect Exercise Price of Derivative Beneficial Ownership of Derivative Security Security:Direct (D) (Instr. 5) or Indirect (I) (Instr. 5) - --------------------------------------- ---------------------- ------------------------ $1.25 D $1.375 D
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. TELCOM, L.P. /S/ JAMES J. PINTO JUNE 30, 1997 ------------------------------- ------------------------- Title: Partner **Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----