-----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, Q2ZlaZRuuXgtAXqypmlVM9/ZmzOYnoMILchyAZ1ZpaBci+RuP1WOErnb93zKYGW7 04xY5GxnXQf6JIGhlDFXGA== 0000950142-04-001646.txt : 20040512 0000950142-04-001646.hdr.sgml : 20040512 20040512104135 ACCESSION NUMBER: 0000950142-04-001646 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20040512 GROUP MEMBERS: BELIB PTY. LTD. GROUP MEMBERS: CAJOB PTY. LTD. GROUP MEMBERS: CAMEL PTY. LTD. GROUP MEMBERS: JOKREN PTY. LTD. GROUP MEMBERS: KAFIG NOMINEES PTY. LTD. GROUP MEMBERS: KAFIG PTY. LTD. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COSI INC CENTRAL INDEX KEY: 0001171014 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 061393745 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-78826 FILM NUMBER: 04797951 BUSINESS ADDRESS: STREET 1: COSI INC STREET 2: 242 WEST 38TH STREET CITY: NEW YORK STATE: NY ZIP: 10018 BUSINESS PHONE: 2126531600 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KAFIG PTY. LTD. CENTRAL INDEX KEY: 0001289890 IRS NUMBER: 000000000 STATE OF INCORPORATION: C3 FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: LEVEL 9 STREET 2: 161 COLLINS STREET CITY: MELBOURNE STATE: C3 ZIP: 3000 BUSINESS PHONE: 61-2-9255-4962 MAIL ADDRESS: STREET 1: LEVEL 9 STREET 2: 161 COLLINS STREET CITY: MELBOURNE STATE: C3 ZIP: 3000 SC 13G 1 sc13g_cosi.txt SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. _)* COSI, INC. ---------- (Name of Issuer) COMMON STOCK, PAR VALUE $.01 PER SHARE -------------------------------------- (Title of Class of Securities) 22122P101 --------- (CUSIP Number) DECEMBER 23, 2003 ----------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [X] Rule 13d-1(c) [_] Rule 13d-1(d) *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 disclosures provided in a prior cover page. The information required on the reminder 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). CUSIP NO. 22122P101 Schedule 13G Page 2 of 15 - -------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identifica- tion No. of Above Person Kafig Pty. Ltd. - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Australia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 1,456,366 (1) Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 1,456,366 (1) Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 1,456,366 (1) - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 5.4% - -------------------------------------------------------------------------------- 12. Type of Reporting Person OO - -------------------------------------------------------------------------------- - ------------------------ (1) Includes 118,459 shares of common stock, par value $0.01 per share of the Issuer (the "Common Stock"), issuable upon exercise of outstanding warrants. CUSIP NO. 22122P101 Schedule 13G Page 3 of 15 - -------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identifica- tion No. of Above Person Belib Pty. Ltd. - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Australia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 16,860 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 16,860 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 16,860 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 0.1% - -------------------------------------------------------------------------------- 12. Type of Reporting Person OO - -------------------------------------------------------------------------------- CUSIP NO. 22122P101 Schedule 13G Page 4 of 15 - -------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identifica- tion No. of Above Person Camel Pty. Ltd. - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Australia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 16,860 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 16,860 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 16,860 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 0.1% - -------------------------------------------------------------------------------- 12. Type of Reporting Person OO - -------------------------------------------------------------------------------- CUSIP NO. 22122P101 Schedule 13G Page 5 of 15 - -------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identifica- tion No. of Above Person Cajob Pty. Ltd. - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Australia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 16,860 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 16,860 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 16,860 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 0.1% - -------------------------------------------------------------------------------- 12. Type of Reporting Person OO - -------------------------------------------------------------------------------- CUSIP NO. 22122P101 Schedule 13G Page 6 of 15 - -------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identifica- tion No. of Above Person Jokren Pty. Ltd. - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Australia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 112,405 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 112,405 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 112,405 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 0.4% - -------------------------------------------------------------------------------- 12. Type of Reporting Person OO - -------------------------------------------------------------------------------- CUSIP NO. 22122P101 Schedule 13G Page 7 of 15 - -------------------------------------------------------------------------------- 1. Name of Reporting Person S.S. or I.R.S. Identifica- tion No. of Above Person Kafig Nominees Pty. Ltd. - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Australia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 1,456,366 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 1,456,366 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 1,456,366 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 5.4% - -------------------------------------------------------------------------------- 12. Type of Reporting Person OO - -------------------------------------------------------------------------------- CUSIP NO. 22122P101 Schedule 13G Page 8 of 15 Item 1. (a) NAME OF ISSUER Cosi, Inc. (the "Company"). (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES 242 West 36th Street New York, New York 10018 Item 2. (a) NAMES OF PERSONS FILING This Statement is being filed on behalf of each of the following persons (collectively, the "Reporting Persons") (i) Kafig Pty. Ltd., an Australian Proprietary Limited Company ("Kafig"); (ii) Belib Pty. Ltd., an Australian Proprietary Limited Company ("Belib"); (iii) Camel Pty. Ltd., an Australian Proprietary Limited Company ("Camel"); (iv) Cajob Pty. Ltd., an Australian Proprietary Limited Company ("Cajob"); (v) Jokren Pty. Ltd., an Australian Proprietary Limited Company ("Jokren"); and (vi) Kafig Nominees Pty. Ltd. (formerly known as Libbers Pty. Ltd.), an Australian Proprietary Limited Company ("Kafig Nominees"). CUSIP NO. 22122P101 Schedule 13G Page 9 of 15 (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE The address of the principal business offices of (i) Kafig, (ii) Belib, (iii) Camel, (iv) Cajob, (v) Jokren, and (vi) Kafig Nominees is Level 9, 161 Collins Street, Melbourne, Victoria 3000, Australia. (c) CITIZENSHIP (i) Kafig - an Australian Proprietary Limited Company (ii) Belib - an Australian Proprietary Limited Company (iii) Camel - an Australian Proprietary Limited Company (iv) Cajob - an Australian Proprietary Limited Company (v) Jokren - an Australian Proprietary Limited Company (vi) Kafig Nominees - an Australian Proprietary Limited Company (d) TITLE OF CLASS OF SECURITIES Common Stock, par value $0.01 per share (the "Common Stock") (e) CUSIP NUMBER 22122P101 CUSIP NO. 22122P101 Schedule 13G Page 10 of 15 Item 3. This statement is not being filed pursuant to either Rule 13d-1(b) or 13d-2(b) or (c). Item 4. OWNERSHIP. (a) AMOUNT BENEFICIALLY OWNED: (i) Kafig may be deemed to beneficially own an aggregate of 1,456,366 shares of Common Stock. This includes 1,337,907 shares of Common Stock that Kafig owns directly and 118,459 shares of Common Stock issuable to Kafig upon exercise of warrants held by Kafig. (ii) Belib may be deemed to beneficially own 16,860 shares of Common Stock. (iii) Camel may be deemed to beneficially own 16,860 shares of Common Stock. (iv) Cajob may be deemed to beneficially own 16,860 shares of Common Stock. (v) Jokren may be deemed to beneficially own 112,405 shares of Common Stock. (vi) As the sole shareholder of Kafig, Kafig Nominees may be deemed to beneficially own the 1,456,366 shares of Common Stock beneficially owned by Kafig. (b) PERCENTAGE OWNED: According to the information known to the Reporting Persons, there are 26,964,954 shares of Common Stock outstanding. If the warrants held by Kafig to purchase 118,459 shares of Common Stock were exercised, 27,083,413 shares of Common Stock would be outstanding. Based on calculations made in accordance with Rule 13d-3(d): (i) Kafig may be deemed to beneficially own approximately 5.4% of the outstanding Common Stock, (ii) Belib may be deemed to beneficially own approximately 0.1% of the outstanding Common Stock, (iii) Camel may be deemed to beneficially own approximately 0.1% of the outstanding Common Stock, (iv) Cajob may be deemed to beneficially own approximately 0.1% of the outstanding Common Stock, (v) Jokren may be deemed to beneficially own approximately 0.4% of the outstanding Common Stock, and (vi) Kafig Nominees may be deemed to beneficially own approximately 5.4% of the outstanding Common Stock. CUSIP NO. 22122P101 Schedule 13G Page 11 of 15 (c) NUMBER OF SHARES OF COMMON STOCK AS TO WHICH SUCH PERSON HAS: (i) Kafig may be deemed to have the sole power to direct the voting and disposition of the 1,456,366 shares of Common Stock beneficially owned by Kafig. (ii) Belib may be deemed to have the sole power to direct the voting and disposition of the 16,860 shares of Common Stock beneficially owned by Belib. (iii) Camel may be deemed to have the sole power to direct the voting and disposition of the 16,860 shares of Common Stock beneficially owned by Camel. (iv) Cajob may be deemed to have the sole power to direct the voting and disposition of the 16,860 shares of Common Stock beneficially owned by Cajob. (v) Jokren may be deemed to have the sole power to direct the voting and disposition of the 112,405 shares of Common Stock beneficially owned by Jokren. (vi) Kafig Nominees, as sole shareholder of Kafig, may be deemed to have the sole power to direct the voting and disposition of the 1,456,366 shares of Common Stock beneficially owned by Kafig. 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 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. CUSIP NO. 22122P101 Schedule 13G Page 12 of 15 Item 9. NOTICE OF DISSOLUTION OF GROUP Not applicable. Item 10. CERTIFICATION By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] CUSIP NO. 22122P101 Schedule 13G Page 13 of 15 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: May 4, 2004 KAFIG PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary BELIB PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary CAMEL PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary CAJOB PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary JOKREN PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary KAFIG NOMINEES PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary EX-99 3 ex-1sc13g_cosi.txt EXHIBIT 1 CUSIP NO. 22122P101 Schedule 13G Page 14 of 15 EXHIBIT 1 --------- JOINT FILING AGREEMENT PURSUANT TO RULE 13d-1(k)(1) The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G shall be filed on behalf of each of the undersigned without the necessity of filing additional joint filing statements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning him, her or it contained herein, but shall not be responsible for the completeness and accuracy of the information concerning the other entities or persons, except to the extent that he, she or it knows or has reason to believe that such information is inaccurate. Dated as of May 4, 2004 KAFIG PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary BELIB PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary CAMEL PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary CAJOB PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary JOKREN PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary CUSIP NO. 22122P101 Schedule 13G Page 15 of 15 KAFIG NOMINEES PTY. LTD., an Australian Proprietary Limited Company By: /s/ Joshua Liberman --------------------------------------- Name: Joshua Liberman Title: Director By: /s/ Sue Conway --------------------------------------- Name: Sue Conway Title: Company Secretary -----END PRIVACY-ENHANCED MESSAGE-----