-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: keymaster@town.hall.org Originator-Key-Asymmetric: MFkwCgYEVQgBAQICAgADSwAwSAJBALeWW4xDV4i7+b6+UyPn5RtObb1cJ7VkACDq pKb9/DClgTKIm08lCfoilvi9Wl4SODbR1+1waHhiGmeZO8OdgLUCAwEAAQ== MIC-Info: RSA-MD5,RSA, TQU+Ky5aGGZpjAj2j9bCjnqFzVOisf6fU7DKaVIHn4Pca89X1mujMxWmll11h2ES m8TGeq2A3bBnEiFl+sMT9A== 0000898430-95-001046.txt : 19950609 0000898430-95-001046.hdr.sgml : 19950609 ACCESSION NUMBER: 0000898430-95-001046 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19950608 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEYER FRED INC CENTRAL INDEX KEY: 0000701169 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 930798201 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-33269 FILM NUMBER: 95545939 BUSINESS ADDRESS: STREET 1: 3800 SE 22ND AVE CITY: PORTLAND STATE: OR ZIP: 97202 BUSINESS PHONE: 5032328844 MAIL ADDRESS: STREET 1: PO BOX 42121 CITY: PORTLAND STATE: OR ZIP: 97242 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: FMI ASSOCIATES LP CENTRAL INDEX KEY: 0000903377 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 133101761 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O KOHLBERG KRAVIS ROBERTS & CO STREET 2: 9 WEST 57TH STREET CITY: NEW YROK STATE: NY ZIP: 10019 BUSINESS PHONE: 2127508300 MAIL ADDRESS: STREET 1: C/O KOHLBERG KRAVIS ROBERTS & CO STREET 2: 9 WEST 57TH STREET CITY: NEW YORK STATE: NY ZIP: 10019 SC 13G/A 1 SCHEDULE 13G-AMEND NO. 5 THIS DOCUMENT IS A COPY OF THE SCHEDULE 13G FILED ON FEBRUARY 14, 1995 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 --------------------- SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 5) FRED MEYER, INC. (Name of Issuer) COMMON STOCK, PAR VALUE $.01 PER SHARE (Title of Class of Securities) 593098-10-6 (CUSIP Number) Check the following box if a fee is being paid with this statement /_/. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7). *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 6 pages. SCHEDULE 13G CUSIP No. 593098-10-6 - ------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identification No. of Above Persons FMI ASSOCIATES, L.P. - ------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) /_/ (b) /_/ - ------------------------------------------------------------------------------- 3. SEC Use Only - ------------------------------------------------------------------------------- 4. Citizenship or Place of Organization DELAWARE - ------------------------------------------------------------------------------- 5. Sole Voting Power 10,700,038 (INCLUDES 1,566,441 SHARES SUBJECT TO AN OPTION TO ACQUIRE) ------------------------------------------------------------------ 6. Shared Voting Power Number of Shares -0- Beneficially Owned By Each ------------------------------------------------------------------ Reporting Person 7. Sole Dispositive Power With 10,700,038 (INCLUDES 1,566,441 SHARES SUBJECT TO AN OPTION TO ACQUIRE) ------------------------------------------------------------------ 8. Shared Dispositive Power -0- - ------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 10,700,038 (INCLUDES 1,566,441 SHARES SUBJECT TO AN OPTION TO ACQUIRE) - ------------------------------------------------------------------------------- 10. Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares /_/ - ------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) 38.1% - ------------------------------------------------------------------------------- 12. Type of Reporting Person PN - ------------------------------------------------------------------------------- Page 2 of 6 pages. Pursuant to the recently adopted electronic filing requirements of the Securities and Exchange Commission (the "Commission"), this document is a conforming electronic copy of the Schedule 13G filed with the Commission in paper format on February 14, 1995. ITEM 1. (A) NAME OF ISSUER: Fred Meyer, Inc. (B) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 3800 S.E. 22nd Avenue Portland, Oregon 97202 ITEM 2. (A) NAME OF PERSON FILING: FMI Associates, L.P. (B) ADDRESS OF PRINCIPAL BUSINESS OFFICE: c/o Kohlberg Kravis Roberts & Co. 9 West 57th Street New York, New York 10019 (C) CITIZENSHIP: Delaware (D) TITLE OF CLASS OF SECURITIES: Common Stock, par value $.01 per share (E) CUSIP NUMBER: 593098-10-6 ITEM 3. Not applicable ITEM 4. OWNERSHIP (A) AMOUNT BENEFICIALLY OWNED: 10,700,038 (includes 1,566,441 shares subject to an option to acquire). (B) PERCENT OF CLASS: 38.1% Page 3 of 6 pages. (C) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS: (i) Sole power to vote or direct the vote: 10,700,038 (includes 1,566,441 shares subject to an option to acquire) (ii) Shared power to vote or to direct the vote: -0- (iii) Sole power to dispose or to direct the disposition of: 10,700,038 (includes 1,566,441 shares subject to an option to acquire) (iv) Shared power to dispose or to direct the disposition of: -0- ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS Not applicable. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON The 10,700,038 shares (including 1,566,441 shares subject to an option to acquire) whose beneficial ownership is reported herein are owned of record by FMI Associates, L.P., a Delaware limited partnership. KKR Associates, a New York limited partnership, is the sole general partner of FMI Associates, L.P., in which capacity it may be deemed to be the beneficial owner of the shares of Fred Meyer, Inc. common stock beneficially owned by FMI Associates, L.P. Henry R. Kravis, George R. Roberts, Paul E. Raether, Robert I. MacDonnell, Michael W. Michelson, Saul A. Fox, James H. Greene, Jr., Michael T. Tokarz and, beginning January 1, 1995, Edward A. Gilhuly, Perry Golkin, Clifton S. Robbins and Scott Stuart are the general partners of KKR Associates, and in such capacity may be deemed to share beneficial ownership of any shares beneficially owned by KKR Associates, but disclaim any such beneficial ownership. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not applicable. Page 4 of 6 pages. ITEM 10. CERTIFICATION Not applicable. Page 5 of 6 pages. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 14, 1995 KKR ASSOCIATES By: /s/ Michael W. Michelson ------------------------ Name: Michael W. Michelson Title: General Partner Page 6 of 6 pages. -----END PRIVACY-ENHANCED MESSAGE-----