0001209191-15-045688.txt : 20150521
0001209191-15-045688.hdr.sgml : 20150521
20150521194014
ACCESSION NUMBER: 0001209191-15-045688
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141231
FILED AS OF DATE: 20150521
DATE AS OF CHANGE: 20150521
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Roundy's, Inc.
CENTRAL INDEX KEY: 0001536035
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411]
IRS NUMBER: 272337996
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 875 EAST WISCONSIN AVENUE
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
BUSINESS PHONE: 414-231-5000
MAIL ADDRESS:
STREET 1: 875 EAST WISCONSIN AVENUE
CITY: MILWAUKEE
STATE: WI
ZIP: 53202
FORMER COMPANY:
FORMER CONFORMED NAME: Roundy's Parent Company, Inc.
DATE OF NAME CHANGE: 20111130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WILLIS JOHN R
CENTRAL INDEX KEY: 0001038733
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35422
FILM NUMBER: 15884214
MAIL ADDRESS:
STREET 1: C/O WILLIS STEIN & PARTNERS
STREET 2: 227 W MONROE STREET SUITE 4300
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-12-31
0
0001536035
Roundy's, Inc.
RNDY
0001038733
WILLIS JOHN R
1033 SKOKIE BOULEVARD SUITE 360
NORTHBROOK
IL
60062
0
0
1
0
Common Stock, par value $0.01
2014-12-31
4
D
0
12135
0.00
D
20241
D
Common Stock, par value $0.01
2015-05-01
4
S
0
99
0.00
D
20142
D
Common Stock, par value $0.01
7100496
I
See Footnote
Common Stock, par value $0.01
213794
I
See Footnote
Common Stock, par value $0.01
213794
I
See Footnote
Common Stock, par value $0.01
61573
I
See Footnote
Represents restricted stock units that were cancelled upon the reporting's person retirement as a director of the board of directors of the issuer.
Shares sold to cover managed shares account annual maintenance fee.
Willis Stein & Partners III Sub, L.P. ("Fund III") is the record owner of these shares. Willis Stein & Partners Management III, L.P. ("Fund III General Partner") is the sole general partner of Fund III. Willis Stein & Partners Management III, LLC ("Management III") is the sole general partner of Fund III General Partner. John R. Willis and Avy H. Stein ("Managing Partners") are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares.
Willis Stein & Partners Dutch III-A Sub, L.P. ("Dutch III-A") is the record owner of these shares. Fund III General Partner is the sole general partner of Dutch III-A. Management III is the sole general partner of Fund III General Partner. The Managing Partners are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares.
Willis Stein & Partners Dutch III-B Sub, L.P. ("Dutch III-B") is the record owner of these shares. Fund III General Partner is the sole general partner of Dutch III-B. Management III is the sole general partner of Fund III General Partner. The Managing Partners are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares.
Willis Stein & Partners III-C Sub, L.P. ("Fund III-C") is the record owner of these shares. Fund III General Partner is the sole general partner of Fund III-C. Management III is the sole general partner of Fund III General Partner. The Managing Partners are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares.
/s/ John R. Willis
2015-05-21