-----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, Ga7i7o4h+tR9X+MEbuJRi1dlPGbyybv6o4PtBAkg0QkGiBTvAo4t1oaiiEFf2uNV 0eiEobH17XIr+2PtsPzHAQ== 0001171520-05-000089.txt : 20050215 0001171520-05-000089.hdr.sgml : 20050215 20050214211034 ACCESSION NUMBER: 0001171520-05-000089 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050215 DATE AS OF CHANGE: 20050214 GROUP MEMBERS: THE DANIEL W. MACDONALD REVOCABLE LIVING TRUST GROUP MEMBERS: THE EVELYN C. MACDONALD FAMILY TRUST FOR DANIEL W. MACDONALD FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MACDONALD DANIEL W CENTRAL INDEX KEY: 0001055346 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: BUSINESS PHONE: 6174924040 MAIL ADDRESS: STREET 1: C/O MAC-GRAY CORP STREET 2: 22 WATER ST CITY: CAMBRIDGE STATE: MA ZIP: 02141 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAC-GRAY CORP CENTRAL INDEX KEY: 0001038280 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 043361982 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-53449 FILM NUMBER: 05614423 BUSINESS ADDRESS: STREET 1: 22 WATER ST CITY: CAMBRIDGE STATE: MA ZIP: 02141 BUSINESS PHONE: 6174924040 MAIL ADDRESS: STREET 1: 22 WATER STREET CITY: CAMBRIDGE STATE: MA ZIP: 02141 FORMER COMPANY: FORMER CONFORMED NAME: MAC GRAY INC DATE OF NAME CHANGE: 19970424 SC 13G 1 eps1706.txt DANIEL W. MACDONALD Page 1 of 10 Pages UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 4) Mac-Gray Corporation ---------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value ---------------------------------------------------------- (Title of Class of Securities) 554153-10-6 -------------------------- (CUSIP Number) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: |_| Rule 13d-1(b) |_| Rule 13d-1(c) |X| Rule 13d-1(d) Page 2 of 10 Pages SCHEDULE 13G CUSIP NO. 554153-10-6 ----------- - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION Massachusetts - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF SHARES 566,667 BENEFICIALLY ---------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH REPORTING PERSON ---------------------------------------------------------- WITH 7 SOLE DISPOSITIVE POWER 566,667 ---------------------------------------------------------- 8 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 566,667 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* /X/ See Item 4. - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 4.4% Based upon 12,782,089 shares of Common Stock reported issued and outstanding in the issuer's quarterly report on Form 10-Q (File No. 001-13495) filed on November 12, 2004.) - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* OO (Trust) - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 3 of 10 Pages SCHEDULE 13G - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON The Daniel W. MacDonald Revocable Living Trust - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION Massachusetts - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF SHARES 1,255,933 BENEFICIALLY ---------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH REPORTING PERSON ---------------------------------------------------------- WITH 7 SOLE DISPOSITIVE POWER 1,255,933 ---------------------------------------------------------- 8 SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,255,933 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* /X/ See Item 4. - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 9.8% Based upon 12,782,089 shares of Common Stock reported issued and outstanding in the issuer's quarterly report on Form 10-Q (File No. 001-13495) filed on November 12, 2004.) - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* OO (Trust) - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 4 of 10 Pages STATEMENT ON SCHEDULE 13G Item 1(a). NAME OF ISSUER: Mac-Gray Corporation Item 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 22 Water Street Cambridge, MA 02141 Item 2(a). NAMES OF PERSONS FILING: 1. The Evelyn C. MacDonald Family Trust for the benefit of Daniel W.MacDonald 2. The Daniel W. MacDonald Revocable Living Trust The persons enumerated in this Item 2(a) are sometimes hereinafter referred to individually as a "Reporting Person" and collectively as the "Reporting Persons." Pursuant to the filing of this Schedule 13G, the Reporting Persons have executed that certain Joint Filing Agreement attached as EXHIBIT B hereto. Item 2(b). BUSINESS MAILING ADDRESS FOR ALL REPORTING PERSONS: c/o Mac-Gray Corporation 22 Water Street Cambridge, MA 02141 Item 2(c). CITIZENSHIP: Each reporting person that is a trust is incorporated within the Commonwealth of Massachusetts. Item 2(d). TITLE OF CLASS OF SECURITIES: Common Stock, $.01 Par Value Item 2(e). CUSIP NUMBER: 554153-10-6 Item 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: Not Applicable Page 5 of 10 Pages Item 4. OWNERSHIP: A total of 12,782,089 shares of Common Stock, $.01 par value per share (the "Common Stock"), of Mac-Gray Corporation (the "Company") were reported in the Company's quarterly report on Form 10-Q (File Number 001-13495) filed on November 12, 2004 as issued and outstanding as of the close of business on November 9, 2001. Statements describing the aggregate amounts of such Common Stock beneficially owned by each Reporting Person, and the number of such shares as to which such Reporting Person has (i) sole voting power, (ii) shared voting power, (iii) sole dispository power, and (iv) shared dispository power are made in the Tables listed in EXHIBIT A attached hereto. The percentage of the class of Common Stock represented by the aggregate amount of shares beneficially owned by each respective Reporting Person is as indicated on Item 9 of the cover page for each such Reporting Person included in this Schedule. BACKGROUND INFORMATION FOR ITEM 4. Each Reporting Person, either in its capacity as direct owner of Common Stock or as settlor, trustee or beneficiary (as the case may be) of certain trusts (described further below) that hold Common Stock, has voting and or dispository power over shares of Common Stock held subject to the terms of a stockholders' agreement dated as of June 26, 1997 (the "Stockholders' Agreement"). The Stockholders' Agreement is filed as Exhibit 10.2 to the Company's Form S-1 Registration Statement, as amended, filed with the Securities and Exchange Commission (File No. 333- 33669), (the "Registration Statement") pursuant to the Securities Act of 1933, as amended. Given the terms of the Stockholders' Agreement (as described below), the Reporting Persons and the other persons party thereto might be deemed to constitute a "group" holding beneficial ownership of an aggregate total of approximately 51.0% of the Company's Common Stock for purposes of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended. However, each Reporting Person disclaims that such Person has agreed to act as a group with the other parties to the Stockholders' Agreement (other than to the extent described in this statement) and such Person disclaims beneficial ownership of shares of Common Stock of the Company other than the amounts of shares reported for each respective Reporting Person in EXHIBIT A attached hereto The parties to the Stockholders' Agreement are the Company and its stockholders Mr. Stewart G. MacDonald, Jr., Ms. Sandra E. MacDonald, Mr. Daniel W. MacDonald, The Evelyn C. MacDonald Family Trust for the benefit of Stewart G. MacDonald, Jr., The Evelyn C. MacDonald Family Trust for the benefit of Sandra E. MacDonald, The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald(1), The Stewart G. MacDonald, Jr. 1984 Trust, The Daniel W. MacDonald Revocable Living Trust (2), the New Century Trust, The Whitney E. MacDonald GST Trust-1997, The Jonathan S. MacDonald GST Trust-1997, The Robert C. MacDonald GST Trust-1997, The Whitney E. MacDonald Gift Trust, The Jonathan S. MacDonald Gift Trust, The Robert C. MacDonald Gift Trust, Cynthia V. Doggett and certain other holders (who hold in aggregate a de minimis fraction of the issued and outstanding Common Stock). The Stockholders' Agreement gives the parties thereto rights of first offer to purchase shares offered for sale by another stockholder who is a party thereto, as well as providing the Company with rights of second offer to purchase such shares. The Stockholders' Agreement also conveys certain demand and "piggy-back" registration rights to the parties thereto. Page 6 of 10 Pages FOOTNOTES TO ITEM 4: (1) The trustees of The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald (the "DWM Trust") are R. Robert Woodburn, Jr., Peter C. Bennett (collectively, the "Independent Trustees") and Daniel W. MacDonald, who is also the sole beneficiary of the DWM Trust. Only the Independent Trustees exercise and share voting power over the shares of Common Stock held by the DWM Trust. Each of the Independent Trustees and Daniel W. MacDonald share power to dispose of the shares held by the DWM Trust. (2) The trustee of The Daniel W. MacDonald Revocable Living Trust (the "DWM Revocable Trust") is Daniel W. MacDonald, its sole trustee. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] Page 7 of 10 Pages 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 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 SIGNATURES 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. Dated: February 14, 2005 The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald By: ---------------------------- Daniel W. MacDonald, Trustee The Daniel W. MacDonald Revocable Living Trust By: ---------------------------- Daniel W. MacDonald, Trustee Page 8 of 10 Pages EXHIBIT A NAME: The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald - -------------------------------------------------------------------------------- COMMON FORM OF BENEFICIAL OWNERSHIP BENEFICIAL STOCK OWNERSHIP DISCLAIMED - -------------------------------------------------------------------------------- Sole Voting 566,667 Direct NO Power - -------------------------------------------------------------------------------- Total Sole 566,667 Voting Power - -------------------------------------------------------------------------------- Shared Voting Power - -------------------------------------------------------------------------------- Total Shared Voting Power - -------------------------------------------------------------------------------- Sole 566,667 Direct NO Dispositive Power - -------------------------------------------------------------------------------- Total Sole 566,667 Dispositive Power - -------------------------------------------------------------------------------- Shared Dispositive Power - -------------------------------------------------------------------------------- Total Shared Dispositive Power - -------------------------------------------------------------------------------- Aggregated Beneficial Ownership: 566,667 - -------------------------------------------------------------------------------- Page 9 of 10 Pages NAME: The Daniel W. MacDonald Revocable Living Trust - -------------------------------------------------------------------------------- COMMON FORM OF BENEFICIAL OWNERSHIP BENEFICIAL STOCK OWNERSHIP DISCLAIMED - -------------------------------------------------------------------------------- Sole Voting 1,255,933 Direct NO Power - -------------------------------------------------------------------------------- Total Sole 1,255,933 Voting Power - -------------------------------------------------------------------------------- Shared Voting Power - -------------------------------------------------------------------------------- Total Shared Voting Power - -------------------------------------------------------------------------------- Sole 1,255,933 Direct NO Dispositive Power - -------------------------------------------------------------------------------- Total Sole 1,255,933 Dispositive Power - -------------------------------------------------------------------------------- Shared Dispositive Power - -------------------------------------------------------------------------------- Total Shared Dispositive Power - -------------------------------------------------------------------------------- Aggregated Beneficial Ownership: 1,255,933 - -------------------------------------------------------------------------------- Page 10 of 10 Pages EXHIBIT B JOINT FILING AGREEMENT This will confirm the agreement by The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald, and The Daniel W. MacDonald Revocable Living Trust (collectively, the "Reporting Persons") in connection with that certain Schedule 13G to be filed on or about February 14, 2005, with respect to the common stock, par value $.01 per share (the "Common Stock"), of Mac-Gray Corporation (the "Company") pertaining to the beneficial ownership by the Reporting Persons of shares of such Common Stock (the "Schedule 13G"). The undersigned hereby agree with respect to such filing on Schedule 13G as follows: (i) No Reporting Person nor any representative of any Reporting Person makes any representation with respect to, nor bears any responsibility for, any of the information set forth with respect to any other "person" who or which is or becomes a party to or a member of any "group" (as such terms are defined and used in Section 13(g) of the Securities Exchange Act of 1934, as amended, and Regulation 13D-G promulgated thereunder) for whom or which information is included in such Schedule 13G. (ii) Subject to paragraph (i) above, the undersigned hereby confirm the agreement by and among each of them that the Schedule 13G is being filed on behalf of each of the parties named below. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Dated: February 14, 2005 The Evelyn C. MacDonald Family Trust for the benefit of Daniel W. MacDonald By: ---------------------------------------- Daniel W. MacDonald, Trustee The Daniel W. MacDonald Revocable Living Trust By: --------------------------------------- Daniel W. MacDonald, Trustee -----END PRIVACY-ENHANCED MESSAGE-----