-----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, ELwSlUS7ChHBA9eL7uuV99mGVZk+nktEm9vyXY4QUBnrDSKSBffIhtQneHAzeigZ hjsaIcEqRBG88Qdq5jzqZw== 0000950152-97-000943.txt : 19970222 0000950152-97-000943.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950152-97-000943 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970213 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAX & ERMAS RESTAURANTS INC CENTRAL INDEX KEY: 0000706471 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 311041397 STATE OF INCORPORATION: DE FISCAL YEAR END: 1026 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-34882 FILM NUMBER: 97530717 BUSINESS ADDRESS: STREET 1: 4849 EVANSWOOD DR CITY: COLUMBUS STATE: OH ZIP: 43229 BUSINESS PHONE: 6144315800 MAIL ADDRESS: STREET 1: 4849 EVANSWOOD DRIVE CITY: COLUMBUS STATE: OH ZIP: 43229 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BARNUM TODD B CENTRAL INDEX KEY: 0000905121 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: MAX & ERMA'S RESTAURANT INC STREET 2: 4849 EVANSWOOD DRIVE CITY: COLUMBUS STATE: OH ZIP: 43229 BUSINESS PHONE: 6144315800 MAIL ADDRESS: STREET 1: MAX & ERMA'S RESTAURANTS INC STREET 2: 4849 EVANSWOOD DRIVE CITY: COLUMBUS STATE: OH ZIP: 43229 SC 13G/A 1 MAX & ERMA'S RESTAURANTS/TODD B. BARNUM SC 13G/A 1 OMB APPROVAL --------------------------- OMB Number: 3235-0145 Expires: October 31, 1997 Estimated average burden hours per response....14.90 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No.3 ) Max & Erma's Restaurants, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.10 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 577903 10 7 -------------- (CUSIP Number) Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7). *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). 2 CUSIP NO. 577903 107 13G Page ____ of ____ Pages ------------ - ------------------------------------------------------------------------------- 1 NAME OR REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON TODD B. BARNUM ###-##-#### - ------------------------------------------------------------------------------- 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 - ------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 417,757 SHARES ------------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED BY EACH ------------------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH 417,757 ------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 417,757 - ------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* Includes 402 shares owned by Mr. Barnum's spouse as to which Mr. Barnum disclaims beneficial ownership - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 9.9% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! 3 SCHEDULE 13G Item 1. (a) Name of Issuer: Max & Erma's Restaurants, Inc. (b) Address of Issuer's Principal Executive Offices: 4849 Evanswood Drive, Columbus, Ohio 43229 Item 2. (a) Name of Person Filing: Todd B. Barnum (b) Address of Principal Business Office, or, if none, Residence: 4849 Evanswood Drive, Columbus, Ohio 43229 (c) Citizenship: Mr. Barnum is a United States Citizen (d) Title of Class of Securities: common stock, $.10 par value (e) CUSIP Number: 577903 10 7 Item 3. Not Applicable Item 4. (a) Amount Beneficially Owned: 417,757 shares (Includes 64,625 shares which Mr. Barnum has a right to purchase under presently exercisable options. Also includes 402 shares owned by Mr. Barnum's spouse as to which Mr. Barnum disclaims beneficial ownership.) (b) Percent of Class: 9.9% (c) Number of shares as to which such persons have: (i) sole power to vote or to direct the vote: 417,757 (ii) shares power to vote or to direct the vote: 0 shares (iii) sole power to dispose or to direct the disposition of: 417,757 (iv) shares power to dispose or to direct the disposition of: 0 shares 4 Item 5. Ownership of Five Percent of Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent Behalf of Another Person. Not Applicable. Item 7. Indemnification and Classification of the Subsidiary which Acquired the Security Being Reported on By the Parent Holding Company. Not Applicable. Item 8. Indemnification 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 his knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. Dated: February 7, 1997 /s/ Todd B. Barnum --------------------------- Todd B. Barnum -----END PRIVACY-ENHANCED MESSAGE-----