-----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, GFhGBByXJ432xKmRJid+a5/BGTeJmUpuXvdO0ENJ0VwKX3gXBzJWvf9fE1LEp5D5 fZV+MNm0zYjLpA7tuUKNJA== 0001209191-09-015087.txt : 20090310 0001209191-09-015087.hdr.sgml : 20090310 20090310123534 ACCESSION NUMBER: 0001209191-09-015087 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060307 FILED AS OF DATE: 20090310 DATE AS OF CHANGE: 20090310 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: DRAUPNIR LLC CENTRAL INDEX KEY: 0001237926 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15589 FILM NUMBER: 09668503 BUSINESS ADDRESS: STREET 1: 500 N DEARBORN, 2ND FL CITY: CHICAGO STATE: IL ZIP: 60610 BUSINESS PHONE: 3125279636 MAIL ADDRESS: STREET 1: 500 N DEARBORN, 2ND FL CITY: CHICAGO STATE: IL ZIP: 60610 3 1 c82317_3x0.xml MAIN DOCUMENT DESCRIPTION X0203 3 2006-03-07 0 0000928465 AMCON DISTRIBUTING CO DIT 0001237926 DRAUPNIR LLC 515 NORTH STATE STREET, SUITE 2650 CHICAGO IL 60654 0 0 1 0 Series A Convertible Preferred Stock, par value $.01/share 30.31 2004-06-17 Common Stock, par value $.01 per share 49488 D Series C Convertible Preferred Stock, par value $.01/share 2006-03-07 Common Stock, par value $.01 per share 146842 I By Draupnir Capital, LLC The 49,488 shares of Common Stock beneficially owned by Draupnir, LLC are in the form of 60,000 shares of Series A Convertible Preferred Stock, par value $.01 per share, which are convertible into 49,488 shares of Common Stock. The 146,842 shares of Common Stock beneficially owned by Draupnir Capital, LLC, of which Draupnir, LLC is the sole member, are in the form of 80,000 Series C Convertible Preferred Stock, par value $.01 per share, which are convertible into 146,842 shares of Common Stock. Each share of Series C Convertible Preferred Stock is convertible into a number of Common Stock of AMCON Distributing Company determined by dividing $25.00 by the Conversion Price, which is $13.62 and is subject to customary anti-dilution adjustments in the event of stock splits, stock dividends and certain other distributions on the Common Stock. Draupnir, LLC is the sole member of Draupnir Capital, LLC. N/A /s/ Jeremy W. Hobbs, Chief Executive Officer 2009-03-09 -----END PRIVACY-ENHANCED MESSAGE-----