-----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, IB34MTJfTgQc+fjmiCn1tkGQZtH88aNhvefUdw5cMVGdFc71mHEesCWjIDPRI75p Bi/o1eNkwT54twBOiy/UGQ== 0000919574-04-003586.txt : 20041216 0000919574-04-003586.hdr.sgml : 20041216 20041216165750 ACCESSION NUMBER: 0000919574-04-003586 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041210 FILED AS OF DATE: 20041216 DATE AS OF CHANGE: 20041216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEDFORD SCOTT CENTRAL INDEX KEY: 0001259946 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21203 FILM NUMBER: 041208856 MAIL ADDRESS: STREET 1: ONE SANSOME STREET STREET 2: SUITE 3134 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PENINSULA CAPITAL MANAGEMENT INC CENTRAL INDEX KEY: 0000922616 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21203 FILM NUMBER: 041208857 BUSINESS ADDRESS: STREET 1: ONE BUSH ST SUITE 1150 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 MAIL ADDRESS: STREET 1: ONE SANSOME STREET STREET 2: SUITE 3134 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DIEDRICH COFFEE INC CENTRAL INDEX KEY: 0000947661 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FOOD STORES [5400] IRS NUMBER: 330086628 STATE OF INCORPORATION: CA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 28 EXECUTIVE PARK STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 9492601600 MAIL ADDRESS: STREET 1: 28 EXECUTIVE PARK STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 4 1 p534101_ex.xml PENINSULA/DIEDRICH X0202 4 2004-12-10 0 0000947661 DIEDRICH COFFEE INC DDRX 0000922616 PENINSULA CAPITAL MANAGEMENT INC ONE SANSOME STREET SUITE 3134 SAN FRANCISCO CA 94104 0 0 1 0 0001259946 BEDFORD SCOTT ONE SANSOME STREET SUITE 3134 SAN FRANCISCO CA 94104 0 0 1 0 Common Stock, par value $0.01 per share 2004-12-10 4 P 0 5025 5.44 A 544810 I Footnote 1 Warrants 4.80 2001-05-08 4 P 0 41666 A 2011-05-08 Common Stock 41666 41666 I Footnote 1 The securities reported herein are held in the account of Peninsula Fund, L.P. ("Peninsula"), a private investment fund. Peninsula Capital Management, Inc. ("PCM") may be deemed to be a beneficial owner of such securities by virtue of its role as the general partner of Peninsula. Scott Bedford is the managing member of PCM. Mr. Bedford may be deemed to beneficially own the securities held by Peninsula by virtue of his status as the managing member of PCM. The warrants were issued to the Reporting Persons in May 2001 as part of a private placement of common stock and were not provided at a separate price. The warrants are exercisable immediately. (+) Each of the Reporting Persons (each, a "Reporting Person" and collectively, the "Reporting Persons") disclaims beneficial ownership of the reported securities except to the extent of its or his pecuniary interest therein. The Reporting Persons affirmatively disclaim being a "group" for purposes of Section 16 of the Securities Exchange Act of 1934, as amended. Peninsula Capital Management, Inc.(+) By: /s/ Scott Bedford, Managing Member 2004-12-16 By: /s/ Scott Bedford (+) 2004-12-16 -----END PRIVACY-ENHANCED MESSAGE-----