SECURITIES AND EXCHANGE COMMISSION
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Washington, D.C. 20549
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SCHEDULE 13D/A
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Under the Securities Exchange Act of 1934
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(Amendment No. 3)*
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Mod-Pac Corp.
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(Name of Issuer)
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Common Stock, $0.01 par value
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Class B Common Stock, $0.01 par value
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(Title of Class of Securities)
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607495108
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607495207
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(CUSIP Number)
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Daniel G. Keane
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1801 Elmwood Avenue
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Buffalo, New York 14207
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(716) 873-0640
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(Name, Address and Telephone Number of Person
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Authorized to Receive Notices and Communications)
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January 17, 2013
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(Date of Event Which Requires Filing of This Statement)
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CUSIP No. 607495108
607495207
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SCHEDULE 13D/A
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Page 2 of 7 Pages
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1
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NAME OF REPORTING PERSON
Daniel G. Keane
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) ¨
(b) ý
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
PF/OO (See Item 3)
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
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¨
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
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7
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SOLE VOTING POWER
280,321 shares of Common Stock1
201,237 shares of Class B Common Stock
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8
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SHARED VOTING POWER
0
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9
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SOLE DISPOSITIVE POWER
280,321 shares of Common Stock1
201,237 shares of Class B Common Stock
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10
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SHARED DISPOSITIVE POWER
0
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON
280,321 shares of Common Stock1
201,237 shares of Class B Common Stock
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
CERTAIN SHARES |
¨
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
9.7% of the outstanding shares of Common Stock
35.3% of the outstanding shares of Class B Common Stock
26.7% of the aggregate voting power of the outstanding shares of Common Stock and Class B Common Stock
13.9% of the economic interest of the outstanding shares of Common Stock and Class B Common Stock
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14
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TYPE OF REPORTING PERSON
IN
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CUSIP No. 607495108
607495207
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SCHEDULE 13D/A
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Page 3 of 7 Pages
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1
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NAME OF REPORTING PERSON
Daniel G. Keane Descendants Trust
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) ¨
(b) ý
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
OO (See Item 3)
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
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¨
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
State of New York
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
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7
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SOLE VOTING POWER
0
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8
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SHARED VOTING POWER
406,905 shares of Common Stock
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9
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SOLE DISPOSITIVE POWER
0
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10
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SHARED DISPOSITIVE POWER
406,905 shares of Common Stock
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON
406,905 shares of Common Stock
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
CERTAIN SHARES |
¨
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
15.4% of the outstanding shares of Common Stock
4.9% of the aggregate voting power of the outstanding shares of Common Stock and Class B Common Stock
12.7% of the economic interest of the outstanding shares of Common Stock and Class B Common Stock
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14
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TYPE OF REPORTING PERSON
OO
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CUSIP No. 607495108
607495207
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SCHEDULE 13D/A
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Page 4 of 7 Pages
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1
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NAME OF REPORTING PERSON
Leslie R. Keane
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) ¨
(b) ý
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
PF/OO (See Item 3)
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
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¨
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
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7
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SOLE VOTING POWER
16,997 shares of Common Stock
14,995 shares of Class B Common Stock
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8
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SHARED VOTING POWER
406,905 shares of Common Stock2
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9
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SOLE DISPOSITIVE POWER
16,997 shares of Common Stock
14,995 shares of Class B Common Stock
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10
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SHARED DISPOSITIVE POWER
406,905 shares of Common Stock2
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON
423,902 shares of Common Stock2
14,995 shares of Class B Common Stock
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
CERTAIN SHARES |
¨
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
16.1% of the outstanding shares of Common Stock
2.6% of the outstanding shares of Class B Common Stock
6.9% of the aggregate voting power of the outstanding shares of Common Stock and Class B Common Stock
13.7% of the economic interest of the outstanding shares of Common Stock and Class B Common Stock
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14
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TYPE OF REPORTING PERSON
IN
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CUSIP No. 607495108
607495207
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SCHEDULE 13D/A
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Page 5 of 7 Pages
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1
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NAME OF REPORTING PERSON
Kevin T. Keane
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a) ¨
(b) ý
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
PF/OO (See Item 3)
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e)
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¨
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
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7
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SOLE VOTING POWER
99,189 shares of Common Stock3
75,650 shares of Class B Common Stock4
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8
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SHARED VOTING POWER
0
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9
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SOLE DISPOSITIVE POWER
99,189 shares of Common Stock3
75,650 shares of Class B Common Stock4
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10
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SHARED DISPOSITIVE POWER
0
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH PERSON
99,189 shares of Common Stock3
75,650 shares of Class B Common Stock4
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
CERTAIN SHARES |
¨
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
3.7% of the outstanding shares of Common Stock
13.3% of the outstanding shares of Class B Common Stock
10.2% of the aggregate voting power of the outstanding shares of Common Stock and Class B Common Stock
5.3% of the economic interest of the outstanding shares of Common Stock and Class B Common Stock
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14
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TYPE OF REPORTING PERSON
IN
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CUSIP No. 607495108
607495207
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SCHEDULE 13D/A
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Page 6 of 7 Pages
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This Amendment No. 3 amends the statement on Schedule 13D filed by certain of the Reporting Persons on October 26, 2012 (the "Original Schedule 13D"), as amended by Amendment No. 1 filed by certain of the Reporting Persons on October 29, 2012 and Amendment No. 2 filed by the Reporting Persons on December 17, 2012 (the Original Schedule 13D, as amended, the “Schedule 13D”) relating to the (i) shares of common stock, par value $0.01 per share (the "Common Stock"), of Mod-Pac Corp., a New York corporation (the "Issuer") and (ii) shares of class B common stock, par value $0.01 per share (the "Class B Common Stock"), of the Issuer. This Amendment No. 3 amends Items 3, 4 and 5 as set forth below.
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Item 3.
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SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
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Item 3 of the Schedule 13D is hereby supplemented as follows:
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Mr. D. Keane exercised an option to purchase 31,921 shares of Common Stock with personal funds in the aggregate amount of approximately $172,118.
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Item 4.
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PURPOSE OF TRANSACTION
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Item 4 of the Schedule 13D is hereby supplemented as follows:
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On January 17, 2013 Mr. D. Keane exercised an option to purchase 31,921 shares of Common Stock at an option price of $5.392 per share of Common Stock.
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Item 5.
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INTEREST IN SECURITIES OF THE ISSUER
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Item 5 of the Schedule 13D is hereby amended and restated as follows:
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(a)
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See rows (11) and (13) of the cover pages to this Schedule 13D for the aggregate number of shares of Common Stock and Class B Common Stock and percentages of the Common Stock and Class B Common Stock beneficially owned by each of the Reporting Persons. The percentages reported in this Schedule 13D are calculated based upon the 2,638,300 shares of Common Stock and the 570,529 shares of Class B Common Stock outstanding as of September 29, 2012, as reported in the Issuer’s Quarterly Report on Form 10-Q for the fiscal period ended September 29, 2012 filed with the SEC on October 31, 2012.
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(b)
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See rows (7) through (10) of the cover pages to this Schedule 13D for the number of shares of Common Stock and Class B Common Stock as to which each Reporting Person has the sole or shared power to vote or direct the vote and sole or shared power to dispose or to direct the disposition.
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(c)
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Except as set forth in Item 4, none of the Reporting Persons have effected any transaction in the Issuer’s stock since the filing of Amendment No. 2 to the Original Schedule 13D.
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(d)
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No person is known by the Reporting Persons to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, any shares of Common Stock or Class B Common Stock beneficially owned by the Reporting Persons.
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(e)
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Not applicable.
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CUSIP No. 607495108
607495207
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SCHEDULE 13D/A
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Page 7 of 7 Pages
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/s/ Daniel G. Keane
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DANIEL G. KEANE
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DANIEL G. KEANE DESCENDANTS TRUST
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/s/ Leslie R. Keane
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Name: Leslie R. Keane
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Title: Trustee
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/s/ Leslie R. Keane
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LESLIE R. KEANE
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/s/ Kevin T. Keane
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KEVIN T. KEANE
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