-----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, UVxT9PAqTuUA5ix/4XYRs21U5BK3DrI8wJEKYS6EJQ1fVW2jEqAz+KFWISg13nGd uJUXz8Gf8ciCnXy2Pu3oEQ== 0000950134-99-001089.txt : 19990217 0000950134-99-001089.hdr.sgml : 19990217 ACCESSION NUMBER: 0000950134-99-001089 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: STAFFMARK INC CENTRAL INDEX KEY: 0001017968 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 710788538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-49699 FILM NUMBER: 99540233 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: BREWER JERRY T CENTRAL INDEX KEY: 0001031183 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 302 EAST MILLSAP ROAD CITY: FAYETTEVILLE STATE: NC ZIP: 72703 BUSINESS PHONE: 5019736000 SC 13G/A 1 AMENDMENT NO. 2 TO SCHEDULE 13G 1 Jerry T. Brewer SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G AMENDMENT NO. 2 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 SCHEDULE 13G CUSIP No. 852389-10-5 Page 2 of 5 Pages 1. Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Jerry T. Brewer 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 - 428,656(1) [ Number of Shares [ 6. Shared Voting Power - 174,000(2) Beneficially Owned [ By Each Reporting [ 7. Sole Dispositive Power - 428,656(1) Person With [ [ 8. Shared Dispositive Power - 174,000(2) 9. Aggregate Amount Beneficially Owned by Each Reporting Person 602,656(1)(2) 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 2.07% 12. Type of Reporting Person IN
- ------------------------------------ (1) 425,323 shares are owned by the Jerry T. Brewer FLINT Trust, of which Mr. Brewer is the trustee, and 3,333 shares are subject to options which are currently exercisable. (2) 174,000 shares are owned by the Kay Brewer FLINT Trust, of which Mr. Brewer's spouse is the trustee, and Mr. Brewer disclaims beneficial ownership. 3 SCHEDULE 13G CUSIP No. 852389-10-5 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 Jerry T. Brewer Item 2(b). Address of Principal Business Office or, if None, Residence 302 East Millsap Road Fayetteville, Arkansas 72703 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 No. 852389-10-5 Item 3. Not Applicable
4 SCHEDULE 13G CUSIP No. 852389-10-5 Page 4 of 5 pages Item 4. Ownership (a) Amount Beneficially Owned: 602,656 shares(1)(2) (b) Percent of Class: 2.07% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote - 428,656(1) (ii) shared power to vote or to direct the vote - 174,000(2) (iii) sole power to dispose or to direct the disposition of - 428,656(1) (iv) shared power to dispose or to direct the disposition of - 174,000(2) Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [X]. 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) 425,323 shares are owned by the Jerry T. Brewer FLINT Trust, of which Mr. Brewer is the trustee, and 3,333 shares are subject to options which are currently exercisable. (2) 174,000 shares are owned by the Kay Brewer FLINT Trust, of which Mr. Brewer's spouse is the trustee, and Mr. Brewer disclaims beneficial ownership. 5 SCHEDULE 13G CUSIP No. 852389-10-5 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 12, 1999 ---------------------------------- Date /s/ Jerry T. Brewer ---------------------------------- Jerry T. Brewer
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