-----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, JrTDM+AlNoy8wKTRejb8XV8yCf1lvsQI+F4AOMwJ0ocbkhnyQ/mig1gu7dLSqAhh i2LxDWRKSlCaCX7ubd4Ohg== 0000950152-98-000983.txt : 19980217 0000950152-98-000983.hdr.sgml : 19980217 ACCESSION NUMBER: 0000950152-98-000983 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980212 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MPW INDUSTRIAL SERVICES GROUP INC CENTRAL INDEX KEY: 0001047098 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] IRS NUMBER: 341567260 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-52989 FILM NUMBER: 98533086 BUSINESS ADDRESS: STREET 1: 0 STREET 2: 9711 LANCASTER ROAD SE CITY: HEBRON STATE: OH ZIP: 43025 BUSINESS PHONE: 614927870 MAIL ADDRESS: STREET 1: 9711 LANCASTER RD SE STREET 2: 9711 LANCASTER RD SE CITY: HEBRON STATE: OH ZIP: 43025 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLACK SUSAN K CENTRAL INDEX KEY: 0001054910 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 0 STREET 2: 9711 LANCASTER ROAD SE CITY: HEBRON STATE: OH ZIP: 43025 BUSINESS PHONE: 614927870 MAIL ADDRESS: STREET 1: 9711 LANCASTER RD SE STREET 2: 9711 LANCASTER RD SE CITY: HEBRON STATE: OH ZIP: 43025 SC 13G 1 MPW INDUSTRIAL SERVICES/SUSAN K. BLACK--SC 13G 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No.________)* MPW Industrial Services Group, Inc. ----------------------------------------------------------------------------- (Name of Issuer) Common Stock, without par value ----------------------------------------------------------------------------- (Title of Class of Securities) 553444 10 0 ----------------------------------------------------------------------------- (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). Page 1 of 4 pages 2 SCHEDULE 13G CUSIP NO. 553444 10 0 PAGE 2 OF 4 PAGES - ----------------------------------------------------------------------------------------------------------- | 1 | NAME OF REPORTING PERSON | | | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON | | | | | | Susan K. Black | |-----|---------------------------------------------------------------------------------------------------| | 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] | | | ---- | | | (b) [ ] | | | ---- | |-----|---------------------------------------------------------------------------------------------------| | 3 | SEC USE ONLY | | | | |-----|---------------------------------------------------------------------------------------------------| | 4 | CITIZENSHIP OR PLACE OF ORGANIZATION | | | | | | United States of America | |-------------------------------|-------|-----------------------------------------------------------------| | NUMBER OF | 5 | SOLE VOTING POWER | | | | | | SHARES | | 620,000 | | |-------|-----------------------------------------------------------------| | BENEFICIALLY | 6 | SHARED VOTING POWER | | | | | | OWNED BY | | 0 | | |-------|-----------------------------------------------------------------| | EACH | 8 | SOLE DISPOSITIVE POWER | | | | | | REPORTING | | | | | | 620,000 | | PERSON |-------|-----------------------------------------------------------------| | | 9 | SHARED DISPOSITIVE POWER | | WITH | | | | | | 0 | |-------------------------------|-------|-----------------------------------------------------------------| | 10 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | | | | | | 620,000 | |-----|---------------------------------------------------------------------------------------------------| | 12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN | | | SHARES* | | | | |-----|---------------------------------------------------------------------------------------------------| | 13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | | | | | | 6.0% | |-----|---------------------------------------------------------------------------------------------------| | 14 | TYPE OF REPORTING PERSON* | | | | | | IN | - -----------------------------------------------------------------------------------------------------------
Page 2 of 4 pages 3 SCHEDULE 13G ITEM 1 (a). NAME OF ISSUER: MPW Industrial Services Group, Inc. ITEM 1 (b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 9711 Lancaster Road, SE Hebron, Ohio 43025 ITEM 2 (a). NAME OF PERSON FILING: Susan K. Black ITEM 2 (b). ADDRESS OF PRINCIPAL BUSINESS OFFICE: 1400 Stringtown Road Lancaster, Ohio 43130 ITEM 2 (c). CITIZENSHIP: United States of America ITEM 2 (d). TITLE OF CLASS OF SECURITIES: Common Stock, without par value ITEM 2 (e). CUSIP NUMBER: 553444 10 0 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d - 2 (b), CHECK WHETHER PERSON FILING IS A: Not Applicable ITEM 4. OWNERSHIP: (A) AMOUNT BENEFICIALLY OWNED: 620,000 (B) PERCENT OF CLASS: 6.0% (C) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS: (i) SOLE POWER TO VOTE OR TO DIRECT THE VOTE: 620,000 (ii) SHARED POWER TO VOTE OR TO DIRECT THE VOTE: 0 (iii) SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF: 620,000 (iv) SHARED POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF: 0
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: Not Applicable Page 3 of 4 pages 4 ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON: Not Applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARIES 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 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 11, 1998 ----------------------------------- Date /s/ Susan K. Black ----------------------------------- Signature Susan K. Black ----------------------------------- Name/Title Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----