-----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, Cl1f224xX7sJcCxtnjBZdNjX5ugYwnXt0wvm9kp6jKN1LOHgmYzF/UKW1+TpRmBt E9vq2o71A4Ka+xKJB+WoSA== 0001227846-04-000007.txt : 20040414 0001227846-04-000007.hdr.sgml : 20040414 20040414202454 ACCESSION NUMBER: 0001227846-04-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040413 FILED AS OF DATE: 20040414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMOLYANSKY JULIE CENTRAL INDEX KEY: 0001227846 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 04734478 BUSINESS ADDRESS: STREET 1: C/O LIFE WAY FOODS STREET 2: 6431 W OAKTON STREET CITY: MORTON GROVE STATE: IL ZIP: 60053 BUSINESS PHONE: 8479671010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIFEWAY FOODS INC CENTRAL INDEX KEY: 0000814586 STANDARD INDUSTRIAL CLASSIFICATION: DAIRY PRODUCTS [2020] IRS NUMBER: 363442829 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6431 W OAKTON CITY: MORTON GROVE STATE: IL ZIP: 60053 BUSINESS PHONE: 7089671010 MAIL ADDRESS: STREET 1: 6431 W OAKTON CITY: MORTON GROVE STATE: IL ZIP: 60053 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-04-13 0 0000814586 LIFEWAY FOODS INC LWAY 0001227846 SMOLYANSKY JULIE LIFEWAY FOODS INC. 6431 OAKTON ST. MORTON GROVE IL 60053 1 1 0 0 President & CEO Common stock, no par value 2004-04-13 4 S 0 1000 24.95 D 1553225 D Common stock, no par value 2004-04-13 4 S 0 1500 25 D 1551725 D Common stock, no par value 2004-04-13 4 S 0 2500 25.5 D 1549225 D Of the 1,553,225 total shares reported on this line, 159,000 are directly owned by Julie Smolyansky and 1,394,225 shares are deemed to be indirectly beneficially owned by Julie Smolyansky as an indirect pecuniary interest in a portion of the shares held in the Estate of Michael Smolyansky, Julie's father and the founder and former President and CEO of the Issuer. On 3/5/2003, pursuant to the Illinois Probate Act and the Internal Revenue Code of the United States, Julie executed a Disclaimer (the "Disclaimer") wherein she disclaimed her interest in the Estate. The Disclaimer was filed with the Probate Division of the Circuit Court of Cook County, Illinois on 3/10/2003. Pursuant to the Disclaimer, no Estate Shares have been distributed to Julie and she no longer has an indirect pecuniary interest in one-third of the Estate. Julie disclaims the indirect pecuniary interest in the Estate attributable to her under Section 16 of the Securities Exchange Act of 1934. Of the 1,551,725 total shares reported on this line, 157,500 are directly owned by Julie Smolyansky and 1,394,225 shares are deemed to be indirectly beneficially owned by Julie Smolyansky as an indirect pecuniary interest in a portion of the shares held in the Estate of Michael Smolyansky, Julie's father and the founder and former President and CEO of the Issuer. On 3/5/2003, pursuant to the Illinois Probate Act and the Internal Revenue Code of the United States, Julie executed a Disclaimer (the "Disclaimer") wherein she disclaimed her interest in the Estate. The Disclaimer was filed with the Probate Division of the Circuit Court of Cook County, Illinois on 3/10/2003. Pursuant to the Disclaimer, no Estate Shares have been distributed to Julie and she no longer has an indirect pecuniary interest in one-third of the Estate. Julie disclaims the indirect pecuniary interest in the Estate attributable to her under Section 16 of the Securities Exchange Act of 1934. Of the 1,549,225 total shares reported on this line, 155,500 are directly owned by Julie Smolyansky and 1,394,225 shares are deemed to be indirectly beneficially owned by Julie Smolyansky as an indirect pecuniary interest in a portion of the shares held in the Estate of Michael Smolyansky, Julie's father and the founder and former President and CEO of the Issuer. On 3/5/2003, pursuant to the Illinois Probate Act and the Internal Revenue Code of the United States, Julie executed a Disclaimer (the "Disclaimer") wherein she disclaimed her interest in the Estate. The Disclaimer was filed with the Probate Division of the Circuit Court of Cook County, Illinois on 3/10/2003. Pursuant to the Disclaimer, no Estate Shares have been distributed to Julie and she no longer has an indirect pecuniary interest in one-third of the Estate. Julie disclaims the indirect pecuniary interest in the Estate attributable to her under Section 16 of the Securities Exchange Act of 1934. Julie Smolyansky 2004-04-14 -----END PRIVACY-ENHANCED MESSAGE-----