-----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, C8N7yVSfV8tOkCqrBZBa6w+AuLB4Fj+BN1wyHr9JLRma+lXh2aHzQDsLUVn0GT67 0mKnR9d/TdaujV4BTwPdTg== 0000950152-96-003986.txt : 19960813 0000950152-96-003986.hdr.sgml : 19960813 ACCESSION NUMBER: 0000950152-96-003986 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960812 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MOUNTASIA ENTERTAINMENT INTERNATIONAL INC CENTRAL INDEX KEY: 0000912027 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 581949379 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11709 FILM NUMBER: 96608299 BUSINESS ADDRESS: STREET 1: 5895 WINDWARD PKWY STREET 2: STE 220 CITY: ALPHARETTA STATE: GA ZIP: 30202 BUSINESS PHONE: 4044426640 MAIL ADDRESS: STREET 1: 5895 WINDWARD PARKWAY SUITE 220 CITY: ALPHARETTA STATE: GA ZIP: 30202 COMPANY DATA: COMPANY CONFORMED NAME: MEI GENPAR LP CENTRAL INDEX KEY: 0001017041 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 4200 TEXAS COMMERCE TOWER WEST STREET 2: 2200 ROSS AVE CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: 2142204900 MAIL ADDRESS: STREET 1: 4200 TEXAS COMMERCE TOWER WEST STREET 2: 2200 ROSS AVE CITY: DALLAS STATE: TX ZIP: 75201 4 1 MEI HOLDINGS/MEI GENPAR, L.P. 1
FORM 4 OMB Approval U.S. SECURITIES AND EXCHANGE COMMISSION ------------------------- [ ] Check this box if no longer WASHINGTON, D.C. 20549 OMB Number 3235-0287 subject to Section 16. Form Expires: April 30, 1997 4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden continue. See Instruction 1(b). hours per response...0.5 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| 2. Issuer Name and Ticker or Trading Symbol | 6. Relationship of Reporting Person | | to Issuer (Check all applicable) MEI GenPar, L.P. | Mountasia Entertainment International, Inc. (FUNN)| _____ Director __X___ 10% Owner - -------------------------------------------------------------------------------------------| _____ Officer (give title below) (Last) (First) (Middle) | 3. IRS or Social | 4. Statement for | _____ Other (specify below) 2200 Ross Avenue | Security Number | Month/Year | Suite 4200 West | of Reporting | 07/96 | - ---------------------------------------| Person (Voluntary) |-------------------------| (Street) | | 5. If Amendment, | ________________________________ | | Date of Original | | | (Month/Year) | Dallas, Texas 75201 | | 06/96 | - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security | 2.Transaction | 3.Transaction | 4.Securities Acquired(A) | 5.Amount of | 6.Owner-| 7.Nature (Instr. 3) | Date | Code | or Disposed of (D) | Securities | ship | of | (Month/Day/ | (Instr. 8) | (Instr. 3, 4, and 5) | Beneficially| Form: | Indirect | Year) | | | Owned at End| Direct | Bene- | | --------------|--------------------------| of Month | (D) or | ficial | | | | Amount | (A) | Price | (Instr. 3 | Indirect| Owner- | | Code | V | | or | | and 4) | (I) | ship | | | | | (D) | | |(Instr.4)|(Instr.4) | | | | | | | | | | | | | | | | | | | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- Common Stock, no par value | 7/24/96 | J* | |908,301*| A | $3.41* | 11,727,967* | I |By MEI | | | | | | | | |Holdings, | | | | | | | | |L.P. - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned, directly or indirectly. (over) (Print or Type Response) SEC 1474 (8/92) Page 1 of 2 Pages
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FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1.Title of Derivative Security | 2.Conversion | 3.Transaction | 4.Transaction | 5.Number of | 6.Date Exer- | 7.Title and Amount (Instr. 3) | or Exercise | Date | Code | Derivative | cisable and | of Underlying | Price of | | (Instr. 8) | Securities | Expiration Date | Securities | Derivative | (Month/Day/ | | Acquired (A) | (Month/Day/Year) | (Instr. 3 and 4) | Security | Year) | | or Disposed | | | | | | of (D) |-------------------------------------- | | | | (Instr. 3, | Date | Expir- | | Amount or | | | | 4, and 5) | Exer- | ation | Title | Number of | | |---------------|--------------| cisable | Date | | Shares | | | Code | V | (A) | (D) | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock | ** | 07/24/96 | J** | | A | ** | ** | ** |Warrant | ** | | | | | | | | | | | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- Common Stock or | | | | | | | | | | Series E Preferred | | | | | | | | | | Stock | *** | 07/24/96 | J*** | | A | *** | *** | *** | *** | *** - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ 8.Price of | 9.Number of | 10.Ownership | 11.Nature of | Derivative | Derivative | Form of | Indirect | Security | Securities | Derivative | Beneficial | (Instr. 5) | Beneficially | Security; | Ownership | | Owned at End | Direct (D) or | (Instr. 4) | | of Month | Indirect (I) | | | (Instr. 4) | (Instr. 4) | | - -------------------------------------------------------------------| ** | ** | I | By MEI | | | | Holdings, | | | | L.P. | - --------------|----------------|-------------------|---------------| *** | *** | | By MEI | | | I | Holdings, | | | | L.P. | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - ------------------------------------------------------------------- Explanation of Responses: * Pursuant to a letter agreement dated July 23, 1996 (the "Amendment") the issuer and MEI Holdings, L.P. (the "Purchaser") agreed to amend the Investment Agreement, dated June 5, 1996 (as so amended, the "Investment Agreement") to increase the number of shares of Common Stock that the Purchaser will acquire for its $40.0 million investment from 44.44% to 45.45% of the shares of Common Stock outstanding on the closing date. The actual number of shares acquired and the price per share may be more or less than the above amount depending on the number of shares of Common Stock outstanding at the time of the closing under the Investment Agreement. ** Pursuant to the Amendment the warrant to be issued at the closing under the Investment Agreement will provide that Purchaser would receive (without payment of additional consideration) .8333 shares of Common Stock (subject to adjustment up to 1.25 shares in the event of the exercise of the Company's $20 Million Put or the Purchaser's $20 Million Call (each as defined below)) for each share of Common Stock issued upon conversion or exercise of any convertible debt or preferred stock outstanding as of immediately following the closing, regardless of the conversion price thereunder. The warrant continues to provide (as disclosed on the filer's Form 3 dated June 17, 1996) that the Purchaser will receive additional shares of Common Stock upon any post-closing issuance of Common Stock under existing commitments below 130% of the Purchaser's per-share investment price. *** Pursuant to the Amendment (a), for three years after the closing date, the Company will have the right (the "Company's $20 Million Put") to compel the Purchaser to invest up to an additional $20.0 million (less the amount invested under the Purchaser's $20 Million Call described below) to purchase Common Stock at $3.50 per share (subject to adjustment in the event that the total number of shares of Common Stock outstanding immediately prior to the closing is greater than 13,714,498, the "Per Share Option Price") and (b), for five years after the closing date, the Purchaser will have the right to invest in the Company up to $20.0 million (the "Purchaser's $20 Million Call") (less any amount invested under the Company's $20 Million Put) to purchase Common Stock at the Per Share Option Price. The Amendment provides that the issuer will use its best efforts to obtain shareholder approval of, among other things, the issuance of Common Stock pursuant to the Company's $20 Million Put and the Purchaser's $20 Million Call within 180 days after the closing. If such shareholder approval is not obtained, upon exercise of the Company's MEI GenPar, L.P. $20 Million Put or the Purchaser's $20 Million Call, the Purchaser would By: HH GenPar Partners receive Series F Preferred Stock in lieu of Common Stock and the Per Its General Partner Share Option Price would be reduced by 15%. The non-voting Series F By: HampsTead Associates, Inc. Preferred Stock will be convertible into Common Stock on a one-share- Its General Partner for-one-share basis at any time after shareholder approval of the issuance of Common Stock has been obtained. ** Intentional misstatements or omissions of facts constitute Federal By: /s/ Daniel A. Decker August 12, 1996 Criminal Violations. ------------------------------ --------------- See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. Daniel A. Decker If space provided is insufficient, see Instruction 6 for procedure. Executive Vice President Page 2 SEC 1474 (8-92)
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