-----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, NKmqY7qrIYtH8im5bSnFSlkYcU3Sri6mLFfsOQO5wj1Cx4THSruazLam/cJLQ0yV nvv8KylTxQopIE8S1q4dKA== 0000902166-04-000005.txt : 20041201 0000902166-04-000005.hdr.sgml : 20041201 20041201162429 ACCESSION NUMBER: 0000902166-04-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041130 FILED AS OF DATE: 20041201 DATE AS OF CHANGE: 20041201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BURLINGTON COAT FACTORY WAREHOUSE CORP CENTRAL INDEX KEY: 0000718916 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 221970303 STATE OF INCORPORATION: DE FISCAL YEAR END: 0530 BUSINESS ADDRESS: STREET 1: 1830 RTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: 6093877800 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILSTEIN STEPHEN E CENTRAL INDEX KEY: 0000902166 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08739 FILM NUMBER: 041177745 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-30 0 0000718916 BURLINGTON COAT FACTORY WAREHOUSE CORP BCF 0000902166 MILSTEIN STEPHEN E 1830 RT. 130 BURLINGTON NJ 08016 1 1 1 0 Executive V.P. Common Stock, $1.00 Par Value 2004-11-30 4 G 0 10069 0 A 2629569 D Common Stock, $1.00 Par Value 156405 I See footnote This includes 67,445 shares held by the Stephen Milstein Trust and 13,032 shares held by the SGM Trust, trusts established for the benefit of the children of Stephen Milstein. Such shares are reported by reason of Rule 16a-1(a)(2)(ii)(A), but Stephen Milstein disclaims any pecuniary interest in such shares. This also includes 75,928 shares owned by Samgray, L.P., a limited partnership. Stephen Milstein, as a member of Latzim Family, LLC (the general partner of Samgray, L.P.) and as a limited partner of Samgray, L.P., has a pecuniary interest in these shares. /s/ Brian Flynn by power of attorney previously filed 2004-12-01 -----END PRIVACY-ENHANCED MESSAGE-----