-----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, H60ogRiZshEoH6Yqgi0Qb0y2WLcj993edKKe9RaGhh/MFIAkHfM2a1WUbl4fJxVc +Jrr3kc9nm6tLI6aWaQI4g== 0000914190-96-000177.txt : 20080304 0000914190-96-000177.hdr.sgml : 20080304 19960710101800 ACCESSION NUMBER: 0000914190-96-000177 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960710 DATE AS OF CHANGE: 19960723 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LONG GEORGE R CENTRAL INDEX KEY: 0000933046 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 1305 OLIVE LAND N 315 CITY: PLYMOUTH STATE: MN ZIP: 55447 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EAGLE PACIFIC INDUSTRIES INC/MN CENTRAL INDEX KEY: 0000852426 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS PRODUCTS, NEC [3089] IRS NUMBER: 411642846 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-40551 FILM NUMBER: 96592696 BUSINESS ADDRESS: STREET 1: 222 SOUTH NINTH STREET STREET 2: SUITE 2880 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: 6123050339 MAIL ADDRESS: STREET 1: 222 SOUTH NINTH STREET STREET 2: SUITE 2880 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 FORMER COMPANY: FORMER CONFORMED NAME: EAGLE PACIFIC INDUSTRIES INC/MN DATE OF NAME CHANGE: 19950726 FORMER COMPANY: FORMER CONFORMED NAME: BLACK HAWK HOLDINGS INC /MN/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: BHH INC DATE OF NAME CHANGE: 19891019 SC 13D/A 1 SCHEDULE 13D AMENDMENT NO. 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4)* Eagle Pacific Industries, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 269719 10 0 - ---------------------------------------------------------------------------- (CUSIP Number) George R. Long 1305 Olive Lane No., #315 Plymouth, MN 55447 (612) 473-7582 - ------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) June 14, 1996 ---------------------------------------------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ]. Check the following box if a fee is being paid with the statement [ ]. (A fee is not required only if the reporting 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.) Note:Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *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 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). SCHEDULE 13D CUSIP No. 269719 10 0 Page 2 of 3 Pages ------------- ---------- ----------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON George R. Long Social Security No. ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* Not Applicable - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [ ] - ------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - -------------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES BENEFICIALLY 233,482 (includes 45,000 shares obtainable upon exercise OWNED BY of currently exercisable options) EACH REPORTING 8 SHARED VOTING POWER PERSON WITH -0- 9 SOLE DISPOSITIVE POWER 233,482 (includes 45,000 shares obtainable upon exercise of currently exercisable options) 10 SHARED DISPOSITIVE POWER -0- - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 233,482 (includes 45,000 shares obtainable upon exercise of currently exercisable options) - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 3.8% - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. AMENDMENT NO. 4 TO SCHEDULE 13D Item 1. Security and Issuer. (a) Common Stock, $.01 par value (b) Eagle Pacific Industries, Inc. 333 South Seventh Street, Suite 2340 Minneapolis, Minnesota 55402 Item 2. Identity and Background. No change. Item 3. Source and Amount of Funds or Other Consideration. Mr. Long acquired 38,572 shares of Common Stock of the Issuer upon conversion of 33,750 shares of Preferred Stock at $1.75 per share. Item 4. Purpose of Transaction. The shares of Common Stock were acquired for investment purposes. Item 5. Interest in Securities of the Issuer. (a) Mr. Long beneficially owns 233,482 shares of the Issuer's Common Stock, representing 3.8% of the class of which 45,000 shares are obtainable upon exercise of exercisable options. (b) Mr. Long has sole voting and dispositive power over all of such shares. (c) During the last sixty days, Mr. Long acquired 38,572 shares of Common Stock of the Issuer upon conversion of 33,750 shares of Preferred Stock at $1.75 per share. (d) As a result of the issuance by the Issuer of in excess of 1,500,000 shares upon conversion of its Preferred Stock, Mr. Long ceased to be the beneficial owner of more than 5% of the Issuer's Common Stock on June 14, 1996. Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer. None. Item 7. Material to be Filed as Exhibits. None. 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. Dated: June 14, 1996 /s/ George R. Long George R. Long -----END PRIVACY-ENHANCED MESSAGE-----