-----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, TNVh4KFazqxF0aRSOCF+2k1udkDCmEXoX/PfkoWIg9CZGdQF0gQmO6Vk2q8Tm/M/ iZb02qTe5JCO1lt/lW18Pg== 0000950142-97-000098.txt : 19970222 0000950142-97-000098.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950142-97-000098 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970210 FILED AS OF DATE: 19970212 SROS: NONE 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25260 FILM NUMBER: 97525661 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: UNKNOWN SIC - 0000 [0000] OWNER IRS NUMBER: 133261841 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1285 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 2127132716 MAIL ADDRESS: STREET 1: 1285 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10019 4 1 FORM 4 OMB APPROVAL OMB NUMBER:3235-0287 EXPIRES:APRIL 30, 1997 ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE 0.5 [X]Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN 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. (Last) (First) (Middle) 1285 Avenue of the Americas New York New York 10019 - ----------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Kash n' Karry Food Stores, Inc./KAKA - ----------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) 13-2638166 - ----------------------------------------------------------------------------- 4. Statement of Month/Year 12/96 - ----------------------------------------------------------------------------- 5. If Amendment, Date or Original (Month/Year) - ----------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) Director X 10% Owner ---------- ---------- Officer (give title below) Other ---------- ---------- (specify below) - ----------------------------------------------------------------------------- Table I - Non-Derivative Securties Acquired, Disposed of, or Beneficially Owned
1. Title of security 2.Transaction 3.Transaction 4.Securities 5.Amount of 6.Ownership 7.Nature of (Inst.3) Date Code Acquired (A) Securities Form: Indirect (Month/Day/Year) (Instr. 8) or Disposed Beneficially Direct(D) Beneficial of (D)(Instr. Owned at End or Ownership 3,4,and 5) of Month Indirect (Instr.4) (Instr.3 and 4) (I) (Instr.4) Code V Amount (A) Price or (D) Common Stock 12/19/97 U 553,601 D $14,393,626 -0- D
- ----------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Response) FORM 4 (CONTINUED)TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
1. Title of 2. Conversion or 3. Transaction 4.Transaction 5. Number of 6.Date Derivate Exercise Price Date Code Derivative Exercisable Security of Derivative (Month/ Securities and Expiration (Instr.3) Security Day/Year) Acquired (A) Date or Disposed (D) (Instr.3, (Month/Day/Year) 4 and 5) Code V (A) (D) Date Expiration Exercisable Date
7.Title and Amount of 8.Price of 9.Number of 10.Ownership 11.Nature Underlying Securities Derivative Derivative Form of of (Instr. 3 and 4) Security Securities Derivative Indirect (Instr. 5) Beneficially Security: Beneficial Owned at End Direct (D) Ownership of Month or (Instr.4) (Instr.4) Indirect (I) (Instr.4) Title Amount or Number of Shares
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/ Dhananjay Pai 2/10/97 - ----------------------------------------------- ------------------ **Signature of Reporting Person Date By: Its: -----END PRIVACY-ENHANCED MESSAGE-----