-----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, CIN+lf0r+AXrAqmQ6cetn8v/dPGHueeoE5ccgurUg3BhBY0p4EZ8vZtHg1Le3wKX hh6PwCLejlLOijlUebrSyw== 0000928465-07-000062.txt : 20071210 0000928465-07-000062.hdr.sgml : 20071210 20071210210914 ACCESSION NUMBER: 0000928465-07-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071206 FILED AS OF DATE: 20071210 DATE AS OF CHANGE: 20071210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ATAYAN CHRISTOPHER H CENTRAL INDEX KEY: 0001307899 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15589 FILM NUMBER: 071297200 BUSINESS ADDRESS: BUSINESS PHONE: (212) 355-5235 MAIL ADDRESS: STREET 1: C/O SLUSSER ASSOCIATES, INC. STREET 2: 153 EAST 53RD STREET CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMCON DISTRIBUTING CO CENTRAL INDEX KEY: 0000928465 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 470702918 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 7405 IRVINGTON ROAD STREET 2: POST OFFICE BOX 641940 (68164-7940) CITY: OMAHA STATE: NE ZIP: 68122 BUSINESS PHONE: 4023313727 MAIL ADDRESS: STREET 1: 7405 IRVINGTON ROAD STREET 2: POST OFFICE BOX 641940 (68164-7940) CITY: OMAHA STATE: NE ZIP: 68122 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2007-12-06 0 0000928465 AMCON DISTRIBUTING CO DIT 0001307899 ATAYAN CHRISTOPHER H C/O SLUSSER ASSOCIATES, INC. 153 EAST 53RD STREET NEW YORK NY 10022 1 1 0 0 CEO and Vice Chairman Common Stock, par value $.01 per share 2007-12-06 4 A 0 15000 0 A 15055 D Series B Convertible Pfd. Stk, par value $.01 per share 24.65 2004-10-08 Common Stock, par value $.01 per share 8113.5 8113.5 I See Employee Stock Option (right to buy) 18 2016-12-12 Common Stock, par value $.01 per share 25000 25000 D The applicable conversion and exercise price and number of shares issuable on conversion or exercise are subject to anti-dilution adjustments. The Issuer may redeem the Series B Convertible Preferred Stock, at its option, commencing on October 9, 2006 and must be redeemed upon a change of control, as defined in the Series B Convertible Preferred Stock. The Series B Convertible Preferred Stock does not have an expiration date and will remain outstanding and convertible until converted or redeemed. Pursuant to an agreement among the Reporting Person, another individual (the "Second Participant"), and the holder of the Series B Convertible Preferred Stock, the holder has granted to the Reporting Person and the Second Participant a 20% participation interest in any capital gains realized by the holder from its investment in the Issuer, to be shared equally by the Reporting Person and the Second Participant. As a result of such participation interest, the Reporting person may be deemed to have a pecuniary interest in such stock for purposes of 16a-(2)(i) under the Securities Exchange Act of 1934. The Reporting Person does not possess the power to vote or dispose of the Series B Convertible Preferred Stock or to direct the vot or disposition of such stock, and disclaims any beneficial interest in such stock in excess of such pecuniry interest. The stock option vests and is exercisable in three equal installments beginning December 12, 2007 Andrew C. Plummer, Attorney-in-fact for Christopher H. Atayan 2007-12-10 -----END PRIVACY-ENHANCED MESSAGE-----