-----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, BubtMaPJOA7ri6Jb7JvyCoQqJzbZoHBEh56AXPuwHCG5te/t4auzdHFtjgoTGhtG z1u0EbZ5E5HCYAJUoiEVnQ== 0000098559-96-000014.txt : 19960530 0000098559-96-000014.hdr.sgml : 19960530 ACCESSION NUMBER: 0000098559-96-000014 CONFORMED SUBMISSION TYPE: NT 11-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19951130 FILED AS OF DATE: 19960529 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: TOKHEIM CORP CENTRAL INDEX KEY: 0000098559 STANDARD INDUSTRIAL CLASSIFICATION: REFRIGERATION & SERVICE INDUSTRY MACHINERY [3580] IRS NUMBER: 350712500 STATE OF INCORPORATION: IN FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: NT 11-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-06018 FILM NUMBER: 96573981 BUSINESS ADDRESS: STREET 1: P O BOX 360 CITY: FORT WAYNE STATE: IN ZIP: 46801-0360 BUSINESS PHONE: 2194232552 NT 11-K 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING [X] Form 11-K For the Period Ended November 30, 1995 ------------------------------ Nothing in this form shall be construed to imply that the Commission has verified any information contained herin. If the notification relates to a portion of the filing checked above, identify the item(s) to which the notification relates. PART I - REGISTRANT INFORMATION TOKHEIM CORPORATION ------------------------------------------------------ (Exact name of registrant as specified in its charter) RETIREMENT SAVINGS PLAN FOR EMPLOYEES OF TOKHEIM CORPORATION AND SUBSIDIARIES ---------------------------------------- (Full title of the plan) Indiana 1-6018 35-0712500 - ------------------------ ------------------------ -------------------------- (State of Incorporation) (Commission File Number) (I.R.S. Employer I.D. No.) 10501 Corporate Drive, P.O. Box 360, Fort Wayne, Indiana 46801 - -------------------------------------------------------- ---------- (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (219) 470-4600 -------------- PART II - RULES 12b-25(B) AND (C) The subject report could not be filed without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b): (Check box if appropriate) [X] (a) The reasons described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense; [X] (b) The subject annual report, on Form 11-K will be filed on or before the fifteenth calendar day following the prescribed due date; and [ ] (c) The accountant's statement by the Rule 12b-25 has been attached. PART III - NARRATIVE Stated below, in reasonable detail, are the reasons why Form 11-K or the transition report or portion thereof could not be filed within the prescribed time period: The Company was not able to file Form 11-K within the prescribed time period due to being unable to accurately reconcile certain amounts included in the statement of net assets available for plan benefits, statement of changes in net assets available for plan benefits, and the detailed schedule presented by fund for such statements to the respective amounts included in the trust statements provided by the Trustee. As a result of this, the independent accountants do not have the necessary information to complete their audit and to furnish their audit report by the due date prescribed in Form 11-K. See attached Statement of Independent Accountants. PART IV - OTHER INFORMATION (1) Name and telephone number of person to contact in regard to this notification. John A. Negovetich 219 470-4677 -------------------- ----------- ------------------ (Name) (Area Code) (Telephone Number) (2) Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed? If answer is no, identify report(s). [ X ] YES [ ] NO (3) Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof? If yes, provide explanation of the anticipated change and state the reasons why a reasonable estimate of the results cannot be made. [ X ] YES [ ] NO A significant change in the statement of changes in net assets available for plan benefits from the corresponding period ended November 30, 1994 will be reflected in net additions to assets available for plan benefits for the year ended November 30, 1995, due primarily to an increase in employer contributions of $737,000, an increase in net appreciation in the fair value of investments of $1,386,000 and a decrease in withdrawal and termination distributions of $535,000. TOKHEIM CORPORATION --------------------------- (Name of Registrant as specified in Charter) has caused this notification to be signed on its behalf by the undersigned thereunto duly authorized. Date: May 29, 1996 By: JOHN A. NEGOVETICH ----------------------- ----------------------- Vice President and Chief Financial Officer STATEMENT OF INDEPENDENT ACCOUNTANTS The firm of Coopers & Lybrand L.L.P. is the independent auditor of Tokheim Corporation and its Retirement Savings Plan for Employees of Tokheim Corporation and Subsidiaries. We are writing with respect to Tokheim Corporation's Form 12b-25 filing for Notification of Late Filing Form 11-K Annual Report due May 28, 1996, and have prepared this letter as an attachment thereto. The Company has been unable to complete Financial Statements for its Retirement Savings Plan for Employees of Tokheim Corporation and Subsidiaries and accordingly we have been unable to complete our audit of such statements. COOPERS & LYBRAND L.L.P. May 29, 1996 -----END PRIVACY-ENHANCED MESSAGE-----