-----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, WqQqp0/B/2A6se/swSvsS/AFeRHZw0csm1pQyssb6YWwn0wFrOJieQetEacQFZte VWivNUOwIuYgOCOQ5fJcew== 0001019056-04-001337.txt : 20041112 0001019056-04-001337.hdr.sgml : 20041111 20041112153832 ACCESSION NUMBER: 0001019056-04-001337 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041008 FILED AS OF DATE: 20041112 DATE AS OF CHANGE: 20041112 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALEXANDER DAWSON FOUNDATION CENTRAL INDEX KEY: 0001307889 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15589 FILM NUMBER: 041139030 BUSINESS ADDRESS: STREET 1: 4045 SOUTH SPENCER STREEET STREET 2: SUITE 312 CITY: LAS VEGAS STATE: NV ZIP: 89119 BUSINESS PHONE: (702) 733-7880 MAIL ADDRESS: STREET 1: 4045 SOUTH SPENCER STREEET STREET 2: SUITE 312 CITY: LAS VEGAS STATE: NV ZIP: 89119 3 1 edgar.xml PRIMARY DOCUMENT X0202 3 2004-10-08 0 0000928465 AMCON DISTRIBUTING CO DIT 0001307889 ALEXANDER DAWSON FOUNDATION 4045 SOUTH SPENCER STREET SUITE 312 LAS VEGAS NV 89119 0 0 1 0 Series B Convertible Pref. Stock, par value $.01 per share 24.65 2004-10-08 Common Stock, par value $.01 per share 81135 I Through wholly-owned subsidiaries The issuer may redeem the Series B Convertible Preferred Stock, at its option, commencing October 9, 2006 and the Series B Convertible Preferred Stock must be redeemed upon a change of control, as defined in the Series B Convertible Preferred Stock. The Series B Convertible Preferred Stock will remain outstanding and convertible until converted or redeemed. The conversion price and number of shares issuable on conversion are subject to anti-dilution adjustments. The Series B Convertible Preferred Stock is owned directly by Spencer Street Investments, Inc., a wholly-owned subsidiary of Alexander Dawson, Inc. which is, in turn, a wholly owned subsidiary of the Reporting Person. The address of Spencer Street Investments, Inc and Alexander Dawson, Inc. is 4045 South Spencer Street, Las Vegas NV 89119. The Reporting Person has granted a participation interest in 20% of any capital gains realized by the Reporting Person in the investment in the Issuer represented by the Series B Convertible Preferred Stock. The Reporting Person retains the power to vote or dispose of, and to direct the vote or disposition of the Series B Convertible Preferred Stock. Such participation interest may be deemed to reduce the Reporting Person's pecuniary interest in the Series B Convertible Preferred Stock under Rule 16a-(2)(i) under the Securities Exchange Act of 1934. Joseph Borini, Trustee 2004-11-12 -----END PRIVACY-ENHANCED MESSAGE-----