FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/07/2005 |
3. Issuer Name and Ticker or Trading Symbol
CENVEO, INC [ CVO ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 25,000 | D(1) | |
Common Stock | 17,388 | D(2) | |
Common Stock | 25,500 | D(3) | |
Common Stock | 329,964 | D(4) | |
Common Stock | 40,305 | D(5) | |
Common Stock | 21,200 | D(6) | |
Common Stock | 121,030 | D(7) | |
Common Stock | 27,989 | D(8) | |
Common Stock | 13,994 | D(9) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. These shares are owned directly by Robert G. Burton, Jr. |
2. These shares are owned directly by Gina Zambrana. |
3. These shares are owned directly by Donald Zegzdryn. |
4. These shares are owned directly by Thomas Oliva. |
5. These shares are owned directly by Brendan Tobin. |
6. These shares are owned directly by Colin Christ. |
7. These shares are owned directly by Leonard C. Green. |
8. These shares are owned directly by Stephen Winslow. |
9. These shares are owned directly by Thomas Higgins. |
Remarks: |
The reporting person is a member of a Section 13(d) group that owns more than 10% of the issuer's outstanding common stock. There are 22 members of such group. The reporting person has been informed that the SEC's electronic filing system will not accept CIK and CCC codes from more than 10 joint filers. Accordingly, three different reporting persons (including, the reporting person filing this statement) are filing statements of beneficial ownership on or about the date hereof in order to report ownership by such group. Each of the foregoing persons, with exception to the aforementioned reporting person, are joint filers, as permitted under Rule 16(a)-3(j) of the Securities Exchange Act of 1934, as amended. Exhibit List Exhibit 99 - Joint Filer Information |
Robert G. Burton, Jr. | 04/11/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |