-----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, Hbl2NEVRoI5/bQcv2BvDsbjI2rESCs4L0XUIW/oFgY1lFTOSdxbQKTzxTbqmLDhH r2zL2z0VVN3jNqvwlr39wQ== 0000914427-99-000345.txt : 19991210 0000914427-99-000345.hdr.sgml : 19991210 ACCESSION NUMBER: 0000914427-99-000345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991130 FILED AS OF DATE: 19991209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BOSTON BEER CO INC CENTRAL INDEX KEY: 0000949870 STANDARD INDUSTRIAL CLASSIFICATION: MALT BEVERAGES [2082] IRS NUMBER: 043284048 STATE OF INCORPORATION: MA FISCAL YEAR END: 1226 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-14092 FILM NUMBER: 99771688 BUSINESS ADDRESS: STREET 1: 75 ARLINGTON ST CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6174821332 MAIL ADDRESS: STREET 1: 75 ARLINGTON ST STREET 2: 5TH FL CITY: BOSTON STATE: MA ZIP: 02110 COMPANY DATA: COMPANY CONFORMED NAME: CUMMIN PEARSON C III CENTRAL INDEX KEY: 0001094724 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: CONSUMER VENTURE PARTNERS STREET 2: THREE PICKWICK PLAZA CITY: GREENWICH STATE: CT ZIP: 06830 BUSINESS PHONE: 2036298800 MAIL ADDRESS: STREET 1: CONSUMER VENTURE PARTNERS STREET 2: THREE PICKWICK PLAZA CITY: GREENWICH STATE: CT ZIP: 06830 4 1 FORM 4 ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0287 Expires: December 31, 2001 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [ ] Check this box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ================================================================================ 1. Name and Address of Reporting Person Cummin III, Pearson C. - -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o Consumer Venture Partners Three Pickwick Plaza - -------------------------------------------------------------------------------- (Street) Greenwich, CT 06830 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name and Ticker or Trading Symbol Boston Beer Company (SAM) ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Statement for Month/Year November 1999 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [X ] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) -------------------------------------------------------------------- ================================================================================ 7. Individual or Joint/Group Filing (Check Applicable Line) [X ] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/23/99 J(1) 158,820 D N/A 2,293 I (2) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/23/99 J(3) 9,785 A N/A 61,630 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/23/99 J(4) 17,275 D N/A I (2) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/23/99 J(5) 3,175 A N/A D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/23/99 J(6) 1,990 A N/A I (2) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/23/99 J(7) 303 A N/A I (2) - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
9. 10. Number Owner- of ship 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature of Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ----------------------------------------------------------------------------------------------------------------------------------- ==================================================================================================================================== Explanation of Responses: (1) Distribution by Consumer Venture Partners I, L.P. ("CVP") of 123,682 shares to its Limited Partners and 35,138 shares to its General Partner. (2) Reflects 0 shares held by CVP, 0 shares held by Consumer Venture Associates, L.P. ("CVA") and 0 shares held by CMK Associates, L.P. ("CMK")and 2,293 shares held by CVG PSPT (see below). Mr. Cummin is a General Partner of CVA. CVA is the sole General Partner of CVP. Mr. Cummin and a profit sharing plan in which Mr. Cummin has an interest ("CVG PSPI") are also each general partners of CMK. Due to Mr. Cummin's relationship with CVP, CVA and CMK he may be deemed to benefically own the shares. Mr. Cummin disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest. (3) Distribution by CVA to Mr. Cummin. (4) Distribution by CMK to CMK partners. (5) Distribution by CMK to Mr. Cummin. (6) Distribution by CMK to CVG PSPT for benefit of Mr. Cummin. (7) Distribution by CMK to CVG PSPT, of which Mr. Cummin is a trustee.
/s/Pearson C. Cummin III December 9, 1999 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedures. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. -----END PRIVACY-ENHANCED MESSAGE-----