0001144204-12-001291.txt : 20120109 0001144204-12-001291.hdr.sgml : 20120109 20120109144731 ACCESSION NUMBER: 0001144204-12-001291 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110914 FILED AS OF DATE: 20120109 DATE AS OF CHANGE: 20120109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PALAMAND SURY RAO CENTRAL INDEX KEY: 0001240350 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13636 FILM NUMBER: 12517268 MAIL ADDRESS: STREET 1: 5002 AMBERWAY DRIVE CITY: ST. LOUIS STATE: MO ZIP: 63128 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MENDOCINO BREWING CO INC CENTRAL INDEX KEY: 0000919134 STANDARD INDUSTRIAL CLASSIFICATION: MALT BEVERAGES [2082] IRS NUMBER: 680318293 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1601 AIRPORT ROAD CITY: UKIAH, STATE: CA ZIP: 95482 BUSINESS PHONE: 7077441015 MAIL ADDRESS: STREET 1: 1601 AIRPORT ROAD CITY: UKIAH, STATE: CA ZIP: 95482 4/A 1 v245015_4a.xml OWNERSHIP DOCUMENT X0304 4/A 2011-09-14 2011-09-16 0 0000919134 MENDOCINO BREWING CO INC MENB 0001240350 PALAMAND SURY RAO 5002 AMBERWAY DRIVE ST. LOUIS MO 63128 1 0 0 0 Common Stock 2011-09-14 4 G 0 29032 0 A 332110 I By trust Shares issued as compensation issued to Sury Rao Palamand for attendance at Board meetings in 2009 pursuant to the terms of the Issuer's Directors' Compensation Plan, as amended, and gifted by Mr. Palamand to a trust for the benefit of his immediate family and lineal descendants. Although previously filed Form 4s indicated that these shares were held directly by Sury Rao Palamand, they are held by a revocable trust for the benefit of his immediate family and lineal descendants. Mr. Palamand serves as trustee. /s/ Sury Rao Palamand 2012-01-07