3 1 chi3sk.txt FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 INITIAL STATEMENT 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 OMB APPROVAL OMB Number 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response....0.5 ============================================================ 1. Name and Address of Reporting Person Sky High Investments, LLC ------------------------------------------------------------ (Last) (First) (Middle) 1560 Sherman Avenue, Suite 900 ------------------------------------------------------------ (Street) Evanston, Illinois 60201 ------------------------------------------------------------ (City) (State) (Zip) ============================================================ 2. Date of Event Requiring Statement (Month/Day/Year) December 30, 2002 ============================================================ 3. IRS or Social Security Number of Reporting Person, if an entity (Voluntary) ============================================================ 4. Issuer Name and Ticker or Trading Symbol Furr's Restaurant Group ("FRG") ============================================================ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [X] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ----------------------------------------------------- ============================================================ 6. If Amendment, Date of Original (Month/Year) ============================================================ 7. Individual or Joint/Group Filing (Check applicable line) [X] Form filed by One Reporting [ ] Form filed by more Person than one Reporting Person =============================================================================== Table I -- Non-Derivative Securities Beneficially Owned ===============================================================================
2. Amount of 3. Owner- 4. Nature of Securities ship Form: Indirect Beneficially Direct (D) Beneficial Owned or Indir- Ownership 1. Title of Security (Instr. 4) ect (I) - ------------------- ------------ ----------- ------------ Common Stock 4,609,819 D
FORM 3 (continued) ============================================================================================================ Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ============================================================================================================
5. Owner- . ship 3. Title and Form of 2. Date Amount of 4. Con- Deriv- 6. Exercisable and Underlying version ative Nature of Expiration Date Securities or Exer- Security: Indirect ---------------- ---------------- cise Price Direct (D) Bene- Date Expir- Amount of Deriv- (D) or ficial 1. Title of Deri- Exer- ation- of ative Indirect Owner- vative Security cisable Date Title Shares Security (I) ship - --------------- ----- -------- -------- ------ ---------- ---------- -------------------
============================================================ Explanation of Responses: ============================================================ Sky High Investments, LLC /s/ Bradford T. Whitmore December 30, 2002 ------------------------------- ----------------------- **Signature of Reporting Person Date By: Bradford T. Whitmore Sole Memeber **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.