-----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, B05IxK1HLZxDvqtyQfQRcT5wM+SuwcltJoTJlv04y+Gp6PNe3m5CRR9S15v/anjK ZjHLiaRFnEbZ1d4W8dnDAg== 0000901845-01-500004.txt : 20010223 0000901845-01-500004.hdr.sgml : 20010223 ACCESSION NUMBER: 0000901845-01-500004 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BURLINGTON COAT FACTORY WAREHOUSE CORP CENTRAL INDEX KEY: 0000718916 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] IRS NUMBER: 221970303 STATE OF INCORPORATION: DE FISCAL YEAR END: 0530 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-34866 FILM NUMBER: 1540026 BUSINESS ADDRESS: STREET 1: 1830 RTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: 6093877800 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MILSTEIN ANDREW R CENTRAL INDEX KEY: 0000901845 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O BURLINGTON COAT FACTORY WAREHOUSE CO STREET 2: 1830 ROUTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: 6093877800 SC 13G/A 1 arm1.htm ANDREW R. MILSTEIN SCHEDULE 13G AMENDMENT NO. 16 UNITED STATES

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 16)

BURLINGTON COAT FACTORY WAREHOUSE CORPORATION
(Name of Issuer)

Common Stock, $1.00 par value per share
(Title of Class of Securities)

121579 10 6
(CUSIP Number)

December 31, 2000
Date of Event Which Requires Filing of this Statement

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X] Rule 13d-1(d)

     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 (the "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 4


CUSIP No. 121579 10 6

1

NAME OF REPORTING PERSON
SS. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
ANDREW R. MILSTEIN

 
     

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  [  ]

(b)  [X]

     

3

SEC USE ONLY

 

 
     

4

CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES

 

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:

 

5

SOLE VOTING POWER
2,949,698

     
 

6

SHARED VOTING POWER
36,000

     
 

7

SOLE DISPOSITIVE POWER
2,949,698

     
 

8

SHARED DISPOSITIVE POWER
36,000

   

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,985,698

   

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS)
[X]

   

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.7%

   

12

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN

Page 2 of 4


Item

1(a)

Name of Issuer:
Burlington Coat Factory Warehouse Corporation

     
 

1(b)

Address of Issuer's Principal Executive Offices:
1830 Route 130
Burlington, NJ 08016

     

Item

2(a)

Name of Person Filing:
Andrew R. Milstein

     
 

2(b)

Address of Principal Business Office:
1830 Route 130
Burlington, NJ 08016

     
 

2(c)

Citizenship:
United States of America

     
 

2(d)

Title of Class of Securities:
Common Stock, $1.00 par value

     
 

2(e)

CUSIP Number:
121579 10 6

     

Item

3

If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b) or (c), check whether the person filing is a:

   

(a)

[  ]

Broker or dealer registered under Section 15 of the Act;

   

(b)

[  ]

Bank as defined in Section 3(a)(6) of the Act;

   

(c)

[  ]

Insurance company as defined in Section 3(a)(19) of the Act;

   

(d)

[  ]

Investment company registered under Section 8 of the Investment Company Act;

   

(e)

[  ]

Investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);

   

(f)

[  ]

Employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);

   

(g)

[  ]

Parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);

   

(h)

[  ]

Savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;

   

(i)

[  ]

Church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act;

   

(j)

[  ]

Group, in accordance with Rule 13d-1(b)(ii)(J).

 

Not Applicable

 

Item

4

Ownership as of December 31, 2000

   

(a)

Amount beneficially owned

2,985,698

(1)(2)

   

(b)

Percent of class:

6.7

%

   

(c)

Number of Shares as to which such person has

   
 

(i)

sole power to vote or direct the vote

2,949,698

 
 

(ii)

shared power to vote or to direct the vote

36,000

 
 

(iii)

sole power to dispose or to direct the
disposition of


2,949,698

 
 

(iv)

Shared power to dispose of or to direct the
disposition of


36,000

 
 

(1)

Excludes the following number of shares of Common Stock owned by members of Andrew R. Milstein's family as to which shares Andrew R. Milstein disclaims beneficial ownership:

 




Name



Relationship to
Andrew R. Milstein



    Number
   of Shares



Percentage 
of Class (%)

 

Monroe G. Milstein

Father

11,475,756

25.9

 

Henrietta Milstein

Mother

9,278,309

21.0

 

Stephen E. Milstein

Brother

2,742,521

6.2

 

Lazer Milstein

Brother

2,148,477

4.9

Page 3 of 4


 

(2)

Included in the 2,985,698 shares of Common Stock reported are 79,945 shares of Common Stock held by Andrew R. Milstein as trustee of the Stephen Milstein 1994 Trust and 11,109 shares of Common Stock held by Andrew R. Milstein as trustee of the SGM 1995 Trust, trusts established for the benefit of Stephen E. Milstein's children. Also included are 25,200 shares of Common Stock underlying options granted to Andrew R. Milstein. Also included are 36,000 shares of Common Stock held by Andrew R. Milstein as trustee under various trust agreements for the benefit of the children of Andrew R. Milstein, Lazer Milstein and Stephen E. Milstein.

     

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:
Not Applicable

     

Item

7

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person:
Not Applicable

     

Item

8

Identification and Classification of Members of the Group:
Not Applicable

     

Item

9

Notice of Dissolution of Group:
Not Applicable

     

Item

10

Certification:
Not Applicable

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.

February 12, 2001
Date

/s/ Andrew R. Milstein
Signature

Andrew R. Milstein, Executive Vice President
Name/Title

Page 4 of 4


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