-----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, PrmJRJCH1UvohnPmsmJU7SPVATkwZhjj4UuDYlR5RgH0km73e9DJvYNidp4Mz6hT eGuK0mpTaTwGo74e9VkfiQ== 0001047469-97-002642.txt : 19971105 0001047469-97-002642.hdr.sgml : 19971105 ACCESSION NUMBER: 0001047469-97-002642 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971104 FILED AS OF DATE: 19971104 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DELCHAMPS INC CENTRAL INDEX KEY: 0000729970 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 630245434 STATE OF INCORPORATION: AL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-12923 FILM NUMBER: 97707672 BUSINESS ADDRESS: STREET 1: 305 DELCHAMPS DR STREET 2: P O BOX 1668 CITY: MOBILE STATE: AL ZIP: 36602 BUSINESS PHONE: 2054330431 MAIL ADDRESS: STREET 1: 305 DELCHAMPS DR STREET 2: PO BOX 1668 CITY: MOBILE STATE: AL ZIP: 36602 COMPANY DATA: COMPANY CONFORMED NAME: JITNEY JUNGLE STORES OF AMERICA INC /MI/ CENTRAL INDEX KEY: 0001005408 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] OWNER IRS NUMBER: 640280539 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1770 ELLIS AVE STREET 2: STE 200 CITY: JACKSON STATE: MS ZIP: 39204 BUSINESS PHONE: 2125594333 MAIL ADDRESS: STREET 1: JITNEY JUNGLE STORES OF AMERICA INC STREET 2: 4315 IDUSTRIAL DR CITY: JACKSON STATE: MS ZIP: 39209 FORMER COMPANY: FORMER CONFORMED NAME: JJ ACQUISITIONS CORP DATE OF NAME CHANGE: 19951227 4 1 FORM 4
SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 / / Check this box if no longer STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP subject to Section 16. Form 4 or Form 5 obligations may Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) continue. See Instruction 1(b). of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1948 - ----------------------------------------------------------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer (Check all applicable) ___Director /X/ 10% Owner Jitney-Jungle Stores of America, Inc. Delchamps, Inc. (NASDAQ-DLCH) ___Officer (give ___ Other (specify - --------------------------------------------------------------------------------------- title below) (last) (first) (middle) 3. IRS or Social Security 4. Statement below) Number of Reporting for Month/Year ___________________________________________ Person (Voluntary) 11/97 ------------------------------------------- 1770 Ellis Avenue, Suite 200 ---------------- 7. Individual or Joint/Group Filing - --------------------------------------- 64-0280539 5. If Amendment, (Check applicable box) (Street) Date of Original / / Form filed by One Reporting Person (Month/Day/Year) /X/ Form filed by More than One Jackson, MS 39204 Reporting Person - ----------------------------------------------------------------------------------------------------------------------------------- (city) (state) (zip) Table 1 - Non-Derivative Securities, Acquired, Disposed of, or Beneficially Owned *See Attachment A - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Tran- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship Form: of In- Date Code Beneficially Direct (D) direct (Instr. 8) (Instr. 3, 4 and 5) Owned at End or Indirect Beneficial (Month/ -------------------------------------------- of Month (I)(Instr. 4) Ownership Day/ Code V Amount (A) (Instr. 3 (Instr. 4) Year) or (D) Price and 4) - ----------------------------------------------------------------------------------------------------------------------------------- Common Stock 11/4/97 J(1) 1,882,533 A $30.00 7,200,043 D N/A per share - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Response)
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[HEADING CUT OFF] (e.g.) puts, calls, warrants, options, convertible securities - ----------------------------------------------------------------------------------------------------------------------------------- Title of Deriva- 2. Conver- 3. Transaction 4. Transaction 5. Number of Derivative 6. Date Exer- 7. Title and Amount of tive Security sion or Date Code Securities Acquired cisable and Underlying Securities (Instr. 3) Exercise (Month/Day/ (Instr. B) (A) or Disposed of Expiration (Instr. 3 and 4) Price of Year) (D) (Instr. 3, 4, Date Deriva- and 5) (Month/Day/ tive Year) Securi- ---------------------------------------- ty Date Expira- Amount or --------------------------------------- Exer- tion Title Number of Code V (A) (D) cisable Date Shares - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- 8. Price of 9. Number of 10. Ownership 11. Nature of Derivative Derivative Form of Deri- Indirect Security Securities vative Securi- Beneficial (Instr. 5) Beneficially ty: Direct (D) Ownership Owned at End or Indirect (Instr. 4) of Month (I) (Instr. 4) (Instr. 4) - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------
Explanation of Responses: 1) Acquisition of common shares of Delchamps, Inc. pursuant to a merger of Delta Acquisition Corporation ("Delta") with and into Delchamps, Inc. which was preceded by a cash tender offer by Delta. /s/ Michael E. Julian November 4, 1997 ______________________ _________________ Michael E. Julian Date President and Chief Executive Officer Jitney-Jungle Stores of America, Inc. /s/ Bruce C. Bruckmann November 4, 1997 _____________________ _________________ Bruce C. Bruckmann Date Bruckmann, Rosser, Sherrill & Co., Inc. Manager Director ** Signature of Reporting Person Intentional mistatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 787(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. page 2 of 3
Attachment A Form 4 Designated Files Date of Event Requiring Statement Issuer Name and Ticker or Trading Symbol - ---------------- --------------------------------- ---------------------------------------- (Month/Day/Year) Jitney-Jungle Stores of America, Inc. 11/4/97 Delchamps, Inc. (NASDAQ-DLCH) Additional Reporting Person(1) Bruckmann, Rosser, Sherrill & Co., Inc. 126 E. 56th Street - 29th Floor New York, NY 10022 EIN # 13-38D7402
By virtue of its majority common stock ownership of Jitney-Jungle Stores of America, Inc. ("Jitney-Jungle"), Bruckmann, Rosser, Sherrill & Co., Inc. ("BRS") may be deemed to beneficially own the shares of common stock of Delchamps, Inc. beneficially owned by Jitney-Jungle. However, the filing of this Form 4 by BRS shall not be deemed an admission that BRS is a beneficial owner of such shares of Delchamps, Inc. page 3 of 3 -----END PRIVACY-ENHANCED MESSAGE-----