-----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, PzCxSVxrMcEhIzLlDxp8wqd8lvLo8yDCSTADvXtXAEU7AwONEhKnZntqs8bO78fd yU3d3z/BDpy+92cD1MXvbg== 0000910117-96-000016.txt : 19960410 0000910117-96-000016.hdr.sgml : 19960410 ACCESSION NUMBER: 0000910117-96-000016 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960209 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BARRETT BUSINESS SERVICES INC CENTRAL INDEX KEY: 0000902791 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 520812977 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-42607 FILM NUMBER: 96514588 BUSINESS ADDRESS: STREET 1: 4724 S W MACADAM AVE CITY: PORTLAND STATE: OR ZIP: 97201 BUSINESS PHONE: 5032200988 MAIL ADDRESS: STREET 1: 4724 SW MACADAM AVE CITY: PORTLAND STATE: OR ZIP: 97201 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SHERERTZ NANCY B CENTRAL INDEX KEY: 0000918338 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 6513 DIAMOND HALL ROAD CITY: EASTON STATE: MD ZIP: 21601 BUSINESS PHONE: 4108229636 MAIL ADDRESS: STREET 1: 111 SW FIFTH AVENUE STE 3500 CITY: PORTLAND STATE: OR ZIP: 97202 SC 13G/A 1 AMENDMENT NO. 2 (12/31/95) UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2)* Barrett Business Services, Inc. (Name of Issuer) Common Stock, $0.01 par value (Title of Class of Securities) 68463 10 8 (CUSIP Number) Check the following space 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). -1- Item 1: Name of reporting person; S.S. or I.R.S. identification no. of above person: Nancy B. Sherertz; ###-##-#### Item 2: Check the appropriate box if a member of a group: (a) (b) Item 3: SEC use only: Item 4: Citizenship or place of organization: United States of America Number of shares beneficially owned by each reporting person with: Item 5: Sole voting power: 1,689,000 Item 6: Shared voting power: 0 Item 7: Sole dispositive power: 1,689,000 Item 8: Shared dispositive power: 0 Item 9: Aggregate amount beneficially owned by each reporting person: 1,689,000 Item 10: Check box if the aggregate amount in row (9) excludes certain shares: N/A Item 11: Percent of class represented by amount in row 9: 25.78 Item 12: Type of reporting person: IN -2- Item 1(a) Name of Issuer: Barrett Business Services, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 4724 S.W. Macadam Avenue Portland, Oregon 97201 Item 2(a) Name of Person Filing: Nancy B. Sherertz Item 2(b) Address of Principal Business Office, or, if none, Residence: 27023 Rigby Lot Road Easton, Maryland 21601 Item 2(c) Citizenship: United States of America Item 2(d) Title of Class of Securities: Common Stock, $.01 par value Item 2(e) CUSIP Number: 68463 10 8 Item 3 If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b), check whether the person filing is a: Not applicable -3- Item 4 Ownership. The following information is as of December 31, 1995: (a) Amount Beneficially Owned: 1,689,000 shares (b) Percent of Class: The shares represent 25.78 percent of the class (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 1,689,000 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 1,689,000 (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 Item 6 Ownership of More Than Five Percent on Behalf of Another Person: Not applicable Item 7 Identification and Classification of the 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 -4- 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 8, 1996 /s/ Nancy B. Sherertz ______________________________ (Signature) Nancy B. Sherertz ------------------------------ ATTENTION: Intentional misstatements or omissions of fact constitute federal criminal violations (See 18 USC 1001) -5- -----END PRIVACY-ENHANCED MESSAGE-----