-----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, QGFy4O1zZuWiA7JcO17v7srzf2J0rLe6pPKFaP7C9hcT30EcLr2vlT2Jd5rCMIDa mPmWjE5MT1n1/Wl+CCyYNQ== 0000950144-02-003453.txt : 20020415 0000950144-02-003453.hdr.sgml : 20020415 ACCESSION NUMBER: 0000950144-02-003453 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020403 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SHOFFNER JACQULINE SMITHEY CENTRAL INDEX KEY: 0001170228 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 3063 HUFFMAN MILL ROAD CITY: BURLINGTON STATE: NC ZIP: 27215 BUSINESS PHONE: 3365380151 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL FOREST PRODUCTS INC CENTRAL INDEX KEY: 0000912767 STANDARD INDUSTRIAL CLASSIFICATION: SAWMILLS, PLANNING MILLS, GENERAL [2421] IRS NUMBER: 381465835 STATE OF INCORPORATION: MI FISCAL YEAR END: 1229 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-45770 FILM NUMBER: 02600696 BUSINESS ADDRESS: STREET 1: 2801 EAST BELTLINE NE CITY: GRAND RAPIDS STATE: MI ZIP: 49525 BUSINESS PHONE: 6163646161 MAIL ADDRESS: STREET 1: 2801 EAST BELTLINE NE CITY: GRAND RAPIDS STATE: MI ZIP: 49505 SC 13G 1 g75290sc13g.txt UNIVERSAL FOREST PROD/JACQUELINE SMITHEY SHOFFNER SCHEDULE 13G (RULE 13d-102) Information to be Included in Statements Filed Pursuant to Rule 13d-1(b), (c), and (d) and Amendments Thereto Filed Pursuant to Rule 13d-2(b) SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 Under the Securities Exchange Act of 1934 (Amendment No. )* ---- Universal Forest Products - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 913543104 - -------------------------------------------------------------------------------- (CUSIP Number) February 25, 2002 - -------------------------------------------------------------------------------- (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 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). CUSIP NO. 913543104 13G PAGE 2 OF 2 PAGES -------------------- ----- ----- (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Jacqueline Smithey Shoffner --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) Not applicable (b) Not applicable --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 1,094,319 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 1,094,319 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,094,319 --------------------------------------------------------------------- (10) CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions) [N/A] --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.2% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON (See Instructions) IN --------------------------------------------------------------------- CUSIP No. 913543-10-4 13G Page 3 of 4 Item 1(a) Name of Issuer: Universal Forest Products, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 2801 East Belt Line, N.E. Grand Rapids, Michigan 49525 Item 2(a) Name of Person Filing: Jacqueline Smithey Shoffner Item 2(b) Address of Principal Business Office or, if none, Residence: 3063 Huffman Mill Road Burlington, North Carolina 27215 Item 2(c) Citizenship: United States Item 2(d) Title of Class of Securities: Common Stock Item 2(e) CUSIP Number: 913543-10-4 Item 3 Not Applicable Item 4 Ownership: Ownership details are disclosed in Items 5 through 11 on the cover sheet. Item 5 Not Applicable Item 6 Not Applicable Item 7 Not Applicable Item 8 Not Applicable Item 9 Not Applicable Item 10 Not Applicable Page 4 of 4 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. April 1, 2002 ------------------------------- Date /s/ Jacqueline Smithey Shoffner ------------------------------- Signature -----END PRIVACY-ENHANCED MESSAGE-----