-----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, LpmJlbbAJ63cwmGeDQQqN6jYskSLnAKLokrZYnfrOhcuaPxvhf9ARs4QEyYio1ZZ 0evkYcDPD4bHnPwxz5zp9g== 0000950134-97-000977.txt : 19970222 0000950134-97-000977.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950134-97-000977 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970213 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: STAFFMARK INC CENTRAL INDEX KEY: 0001017968 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 710788538 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-49699 FILM NUMBER: 97530522 BUSINESS ADDRESS: STREET 1: 302 EAST MILLSAP CITY: FAYETTEVILLE STATE: AR ZIP: 72703 BUSINESS PHONE: 5019736000 MAIL ADDRESS: STREET 1: 302 EAST MILLSAP CITY: FAYETTEVETTE STATE: AR ZIP: 72703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MAXWELL JOHN H JR CENTRAL INDEX KEY: 0001031185 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 8221 EAST 63RD PLACE CITY: TULSA STATE: OK ZIP: 74133 BUSINESS PHONE: 5019736000 SC 13G 1 SCHEDULE 13G 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 STAFFMARK, INC. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 852389-10-5 -------------------------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on following pages) Page 1 of 5 pages 2 CUSIP No. 852389-10-5 SCHEDULE 13G Page 2 of 5 Pages - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON John H. Maxwell, Jr. - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] (b) [X] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 351,620 SHARES ------------------------------------------------- 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 362,439(1) ------------------------------------------------ EACH 7 SOLE DISPOSITIVE POWER REPORTING 351,620 PERSON ------------------------------------------------ 8 SHARED DISPOSITIVE POWER WITH 362,439(1) - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 714,059 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES Not Applicable [ ] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.37% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- - --------------- (1) Shares are owned by spouse as to which Mr. Maxwell disclaims beneficial ownership. 3 CUSIP NO. 852389-10-5 SCHEDULE 13G Page 3 of 5 pages Item 1(a) NAME OF ISSUER: Staffmark, Inc. Item 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 302 East Millsap Road Fayetteville, Arkansas 72703 Item 2(a) NAME OF PERSON FILING: John H. Maxwell, Jr. Item 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 8221 East 63rd Place Tulsa, Oklahoma 74133 Item 2(c) CITIZENSHIP: United States of America Item 2(d) TITLE OF CLASS OF SECURITIES: Common Stock, $.01 par value Item 2(e) CUSIP NUMBER: 852389-10-5 Item 3 Not Applicable 4 CUSIP NO. 852389-10-5 SCHEDULE 13G Page 4 of 5 pages Item 4 OWNERSHIP (a) Amount Beneficially Owned: 714,059(1) shares(1) (b) Percent of Class: 5.37% (c) Number of Shares as to which such Person has: (i) sole power to vote or to direct the vote 351,620 (ii) shared power to vote or to direct the vote 362,439(1) (iii) sole power to dispose or to direct the disposition of 351,620 (iv) shared power to dispose or to direct the disposition of 362,439(1) Item 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS Not Applicable Item 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON Not Applicable Item 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not Applicable - --------------- (1) Shares are owned by Mr. Maxwell's spouse as to which Mr. Maxwell disclaims beneficial ownership. 5 CUSIP NO. 852389-10-5 SCHEDULE 13G Page 5 of 5 pages Item 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not Applicable Item 9 NOTICE OF DISSOLUTION OF GROUP Not Applicable Item 10 CERTIFICATION Not Applicable SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 7, 1997 ----------------------------- /s/ John H. Maxwell, Jr. ----------------------------- John H. Maxwell, Jr. Executive Vice President Medical Services -----END PRIVACY-ENHANCED MESSAGE-----