-----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, In5gLQUpHJztV8GnJZpCRcPf02zBezPeA4qWE/JOHquohgzWGNNrzbny/BYFKIBN ID7M7A+8UBGhCOWe7gOO+w== 0001209191-04-053590.txt : 20041118 0001209191-04-053590.hdr.sgml : 20041118 20041118172953 ACCESSION NUMBER: 0001209191-04-053590 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041116 FILED AS OF DATE: 20041118 DATE AS OF CHANGE: 20041118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOUGLAS KEVIN CENTRAL INDEX KEY: 0001132859 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13579 FILM NUMBER: 041155795 MAIL ADDRESS: STREET 1: 4040 CIVIC CENTER DRIVE CITY: SAN RAFAEL STATE: CA ZIP: 94903 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FRIENDLY ICE CREAM CORP CENTRAL INDEX KEY: 0000039135 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 042053130 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1855 BOSTON ROAD CITY: WILBRAHAM STATE: MA ZIP: 01095 BUSINESS PHONE: 4135432400 MAIL ADDRESS: STREET 1: 1855 BOSTON ROAD CITY: WILBRAHAM STATE: MA ZIP: 01095 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOUGLAS FAMILY TRUST CENTRAL INDEX KEY: 0001268474 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13579 FILM NUMBER: 041155794 BUSINESS ADDRESS: STREET 1: 1101 FIFTH AVE. STREET 2: SUITE 360 CITY: SAN RAFAEL STATE: CA ZIP: 94901 BUSINESS PHONE: 4155262200 MAIL ADDRESS: STREET 1: 1101 FIFTH AVE STREET 2: SUITE 360 CITY: SAN RAFAEL STATE: CA ZIP: 94901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAMES & JEAN DOUGLAS IRREVOCABLE DESCENDANTS TRUST CENTRAL INDEX KEY: 0001268475 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13579 FILM NUMBER: 041155796 BUSINESS ADDRESS: STREET 1: 1101 FIFTH AVE. STREET 2: SUITE 360 CITY: SAN RAFAEL STATE: CA ZIP: 94901 BUSINESS PHONE: 4155262200 MAIL ADDRESS: STREET 1: 1101 FIFTH AVE STREET 2: SUITE 360 CITY: SAN RAFAEL STATE: CA ZIP: 94901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOUGLAS JAMES E III CENTRAL INDEX KEY: 0001268476 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13579 FILM NUMBER: 041155793 BUSINESS ADDRESS: STREET 1: 1101 FIFTH AVE. STREET 2: SUITE 360 CITY: SAN RAFAEL STATE: CA ZIP: 94901 BUSINESS PHONE: 4155262200 MAIL ADDRESS: STREET 1: 1101 FIFTH AVE STREET 2: SUITE 360 CITY: SAN RAFAEL STATE: CA ZIP: 94901 4 1 bsf03509_bsf1kd.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-11-16 0000039135 FRIENDLY ICE CREAM CORP FRN 0001132859 DOUGLAS KEVIN 1101 FIFTH AVENUE SUITE 360 SAN RAFAEL CA 94901 0 0 1 1 13(d)(3) Group 0001268474 DOUGLAS FAMILY TRUST 1101 FIFTH AVENUE SUITE 360 SAN RAFAEL CA 94901 0 0 1 1 13(d)(3) Group 0001268475 JAMES & JEAN DOUGLAS IRREVOCABLE DESCENDANTS TRUST 1101 FIFTH AVENUE SUITE 360 SAN RAFAEL CA 94901 0 0 1 1 13(d)(3) Group 0001268476 DOUGLAS JAMES E III 1101 FIFTH AVENUE SUITE 360 SAN RAFAEL CA 94901 0 0 1 1 13(d)(3) Group Common Stock 2004-11-16 4 P 0 2967 7.7355 A 339613 D Common Stock 2004-11-16 4 P 0 1863 7.7355 A 210667 I By Douglas Family Trust Common Stock 2004-11-16 4 P 0 1380 7.7355 A 178185 I By James & Jean Douglas Irrev Desc Trust Common Stock 2004-11-16 4 P 0 690 7.7355 A 69135 I By James E. Douglas, III These shares are held directly and jointly by Kevin Douglas and his wife, Michelle Douglas. Each of the reporting persons hereunder (each, a "Reporting Person") may be deemed a member of a "group" within the meaning of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or Rule 13d-5 promulgated under the Exchange Act with one or more of the other Reporting Persons. Although the Reporting Persons are reporting such securities as if they were members of a "group," the filing of this Form 4 shall not be deemed an admission by any Reporting Person that such Reporting Person is a beneficial owner of any securities other than those directly held by such Reporting Person. These shares are held directly by the Douglas Family Trust and indirectly by Kevin Douglas. James E. Douglas, Jr. and Jean A. Douglas, husband and wife, are each a co-trustee of the Douglas Family Trust. These shares are held directly by the James Douglas and Jean Douglas Irrevocable Descendants' Trust and indirectly by Kevin Douglas. Kevin Douglas and Michelle Douglas, husband and wife, are each a co-trustee of the James & Jean Douglas Irrevocable Descendants' Trust. These shares are held directly by James E. Douglas, III and indirectly by Kevin Douglas. /s/ Tim McGaw, as Attorney-in-Fact for Kevin Douglas 2004-11-18 /s/ Tim McGaw, as Attorney-in-Fact for the trustees of the Douglas Family Trust 2004-11-18 /s/ Tim McGaw, as Attorney-in-Fact for the trustees of the James & Jean Douglas Irrevocable Descendants' Trust 2004-11-18 /s/ Tim McGaw, as Attorney-in-Fact for James E. Douglas, III 2004-11-18 -----END PRIVACY-ENHANCED MESSAGE-----