-----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, SuJIBunFAg6jguWTLqLs92Iv/LyTtneYmF/ii0bAY4m4lVwirGqKa4U6YWPNIyCU hWUEEPqOVbk865aosGe87A== 0001179110-04-013561.txt : 20040623 0001179110-04-013561.hdr.sgml : 20040623 20040623100046 ACCESSION NUMBER: 0001179110-04-013561 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040623 FILED AS OF DATE: 20040623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAGERTY THOMAS M CENTRAL INDEX KEY: 0001058835 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31410 FILM NUMBER: 04876184 BUSINESS ADDRESS: STREET 1: THOMAS H LEE CO STREET 2: 75 STATE STREET CITY: BOSTON STATE: MA ZIP: 02109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COTT CORP /CN/ CENTRAL INDEX KEY: 0000884713 STANDARD INDUSTRIAL CLASSIFICATION: BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086] IRS NUMBER: 000000000 FISCAL YEAR END: 0125 BUSINESS ADDRESS: STREET 1: 207 QUEENS QUAY W STREET 2: SUITE 340 CITY: TORONTO ONTARIO CANA STATE: A6 ZIP: 00000 BUSINESS PHONE: 4162033898 MAIL ADDRESS: STREET 1: 207 QUEENS QUAY W STREET 2: SUITE 340 CITY: TORONTO ONTARIO STATE: A6 ZIP: 00000 4 1 edgar.xml FORM 4 - X0202 4 2004-06-23 0 0000884713 COTT CORP /CN/ COT 0001058835 HAGERTY THOMAS M C/O THOMAS H. LEE PARTNERS, L.P. 100 FEDERAL STREET, 35TH FLOOR BOSTON MA 02110 1 0 0 0 Common stock 2004-06-23 4 J 0 6529667 0.0 D 56200 I See Note Common Stock 2004-06-23 4 J 0 11992 0.0 A 28372 D On June 23, 2004, Thomas H. Lee Equity Fund IV, L.P. ("Equity Fund"), Thomas H. Lee Foreign Fund IV, L.P. ("Fund IV"), Thomas H. Lee Foreign Fund IV-B, L.P. ("Fund IV-B" and together with Equity Fund and Fund IV, the "Funds") and THL Coinvestors III-B, LLC ("THL III") issued a pro rata distribution of, in the aggregate, 6,529,667 shares of common stock of the Issuer to their respective general and limited partners. Not applicable. Represents shares held, in the aggregate, by THL III. The reporting person is a member of THL III and a principal managing director of Thomas H. Lee Advisors, LLC ("Advisors"), which is the General Partner of Thomas H. Lee Partners, L.P., which is the Managing Member of THL Equity Advisors IV, LLC, which, in turn, is the general partner of each of the Funds. As such, the reporting person may be deemed to beneficially own the shares of the Issuer owned indirectly by Advisors and directly by THL III. The reporting person disclaims beneficial ownership of such shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for the purpose of Section 16 or for any other purpose, except to the extent of his pecuniary interest therein. Represents shares distributed to the reporting person in connection with the distribution described in footnote (1) above. /s/ Thomas M. Hagerty 2004-06-23 -----END PRIVACY-ENHANCED MESSAGE-----