-----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, A9TCp1DSai7NBEKbzR1HKnjPPipYu5brfd6zc6SV+EqAbq0UpdCn45UAtA5iOQ4T foFAEdsVU6JgRxX0I19+lA== 0000893750-99-000091.txt : 19990225 0000893750-99-000091.hdr.sgml : 19990225 ACCESSION NUMBER: 0000893750-99-000091 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990212 FILED AS OF DATE: 19990224 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN SAFETY RAZOR CO CENTRAL INDEX KEY: 0000750339 STANDARD INDUSTRIAL CLASSIFICATION: CUTLERY, HANDTOOLS & GENERAL HARDWARE [3420] IRS NUMBER: 541050207 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-21952 FILM NUMBER: 99548619 BUSINESS ADDRESS: STREET 1: PO BOX 500 CITY: STAUNTON STATE: VA ZIP: 24402-0500 BUSINESS PHONE: 5042488000 MAIL ADDRESS: STREET 1: PO BOX 500 CITY: STAUNTON STATE: VA ZIP: 24402-0500 COMPANY DATA: COMPANY CONFORMED NAME: RSA ACQUISITION CORP CENTRAL INDEX KEY: 0001080059 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] OWNER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: ONE FEDERAL ST 21ST FL CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 6177531100 MAIL ADDRESS: STREET 1: RSA HOLDINGS CORP OF DELAWARE STREET 2: ONE FEDERAL ST 21ST FLOOR CITY: BOSTON STATE: MA ZIP: 02110 3 1 OMB APPROVAL OMB Number: 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response . . . . . . . . 0.5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION FORM 3 Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) 1. Name and Address of RSA Acquisition Corp. Reporting Person* (Last) (First) (Middle) c/o J.W. Childs Equity Partners II, L.P. One Federal Street (Street) Boston Massachusetts 02110 (City) (State) (Zip) 2. Date of Event 2/12/99 Requiring Statement (Month/Day/Year) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker American Safety Razor Company Symbol: RAZR or Trading Symbol 5. Relationship of Director X 10% Owner Reporting Person(s) to Officer (give Other (specify Issuer title below) below) (Check all applicable) Page 1 of 6 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or X Form filed by One Reporting Person Joint/Group Filing Form filed by More than One Reporting (Check Applicable Person Line) Page 2 of 6 FORM 3 (continued) Table I -- Non-Derivative Securities Beneficially Owned 1. Title of Security Common Stock (Instr. 4) 2. Amount of Securities No Securities beneficially owned. See attachment. Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5) Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. (Over) SEC 1473 (7-96) Page 3 of 6 Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Date Exercisable Expiration Date Expiration Date (Month/Day/Year) 3. Title and Amount of Title Amount or Securities Underlying Number of Derivative Security Shares (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5) /s/ B. Lane MacDonald 2/23/99 _______ _______________________ ______________ **Signature of Reporting Person Date Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(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 4 of 6 Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. SEC 1473 (7-96) Page 5 of 6 FORM 3 (continued) Attachment to Form 3 Reporting Person: RSA Acquisition Corp. Address: c/o J.W. Childs Equity Partners II, L.P. One Federal Street Boston, MA 02110 Issuer and Ticker Symbol: American Safety Razor Company (RAZR) Date of Event Requiring Statement: 2/12/99 RSA Acquisition Corp. ("Acquisition") entered into a Shareholders Agreement (the "Agreement"), dated as of February 12, 1999, among Acquisition, RSA Holdings Corp. of Delaware (owner of 100% of the capital stock of Acquisition) and certain stockholders of American Safety Razor Company (the "Stockholders") pursuant to which each Stockholder irrevocably appointed Acquisition the lawful agent, attorney and proxy of such Stockholder, during the term of the Agreement, at any meeting of the Company's Stockholders or in connection with any written consent of the Company's stockholders to vote shares of common stock, par value $.01 per share, of the Company held of record or beneficially owned by such Stockholder (2,311,654 shares in the aggregate are held of record or beneficially owned by all the Shareholders, collectively the "Shares") and as a result of such Agreement, Acquisition may be deemed to be, for purposes of Section 16 of the Securities and Exchange Act of 1934, as amended (the "Exchange Act"), a beneficial owner of such Shares, provided however, that Acquisition expressly disclaims any pecuniary interest in such Shares. 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