-----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, UKTILcrn5fDdjKAhSVfFLYfb5RmkPg3VVI36gFH15Eyuk1ebIGy6FqSIAUmmf/hT MiWVGyAw2khgPPjt+U5jrA== 0000950142-96-000096.txt : 19960412 0000950142-96-000096.hdr.sgml : 19960412 ACCESSION NUMBER: 0000950142-96-000096 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960411 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: KASH N KARRY FOOD STORES INC CENTRAL INDEX KEY: 0000842913 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 954161591 STATE OF INCORPORATION: DE FISCAL YEAR END: 0730 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25260 FILM NUMBER: 96546032 BUSINESS ADDRESS: STREET 1: 6422 HARNEY RD CITY: TAMPA STATE: FL ZIP: 33610 BUSINESS PHONE: 8136210276 COMPANY DATA: COMPANY CONFORMED NAME: PAINE WEBBER CAPITAL INC CENTRAL INDEX KEY: 0000904835 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 1285 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 2127132716 3 1 FORM 3 OMB APPROVAL OMB NUMBER:3235-0104 EXPIRES:APRIL 30, 1997 ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE 0.5 U.S. SECURITIES AND EXCHANGE COMMISSION 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 - ----------------------------------------------------------------------------- 1. Name and Address of Reporting Person PaineWebber Capital Inc. 1285 Avenue of the Americas New York New York 10019 - ----------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) March 29, 1996 - ----------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person 13-3261841 - ----------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol Kash n' Karry Food Stores, Inc./KAKA - ----------------------------------------------------------------------------- 5. Relationship of Reporting Person to Issuer (Check all applicable) Director X 10% Owner ---------- ---------- Officer (give title below) Other ---------- ---------- (specify below) - ----------------------------------------------------------------------------- 6. If Amendment, date of Original (Month/Day/Year) - ----------------------------------------------------------------------------- Table I - Non-Derivative Securties Beneficially Owned
3. Ownership 4. Name of 2. Amount of Securities Form: Direct (D) Indirect Beneficial 1. Title of security Beneficially Owned or Indirect (I) Ownership (Inst.4) (Instr.4) (Inst.5) (Instr.5) Common Stock 553,601 D
- ----------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. FORM 3 (CONTINUED)TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., puts, calls, warrants, options, convertible securities)
1. Title of 2. Date Exercisable and 3. Title and Amount of 4. Conversion or 5. Ownership 6. Nature Derivate Expiration Date Securities Underlying Excercise Price Form of of Security (Month/Day/Year) Derivative Security of Derivative Derivative Indirect (Instr.4) (Instr. 4) Security Security: Beneficial Direct (D) Ownership or (Instr. 5) Date Expiration Title Amount or Indirect Exercisable Date Number of (I) Shares (Instr. 5)
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. PaineWebber Capital Inc. /S/ DAWN LEZON 4/9/96 - ----------------------------------------------- ------------------ **Signature of Reporting Person Date By: Dawn Lezon Its: Vice President -----END PRIVACY-ENHANCED MESSAGE-----