-----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, QDceeAHbb8QMlFQG7vBNANarNPWNEAEMcMAYRCs8xxxvlx/JT/jQfxo5k7VkwCJL DV8twgP0iaMIEOmH6oMqgg== 0000912057-01-004480.txt : 20010212 0000912057-01-004480.hdr.sgml : 20010212 ACCESSION NUMBER: 0000912057-01-004480 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BOSTON RESTAURANT ASSOCIATES INC CENTRAL INDEX KEY: 0000926295 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 611162263 STATE OF INCORPORATION: DE FISCAL YEAR END: 0425 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-49225 FILM NUMBER: 1531260 BUSINESS ADDRESS: STREET 1: 999 BROADWAY STREET 2: SUITE 400 CITY: SAUGUS STATE: MA ZIP: 01906-3209 BUSINESS PHONE: 7812317575 MAIL ADDRESS: STREET 1: 999 BROADWAY STREET 2: SUITE 400 CITY: SAUGUS STATE: MA ZIP: 01906-3206 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: POLCARI JOHN P JR CENTRAL INDEX KEY: 0001078541 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 36 STRAWBERRY HILL CITY: DOVER STATE: MA ZIP: 02030 BUSINESS PHONE: 7812317575 MAIL ADDRESS: STREET 1: 36 STRAWBERRY HILL CITY: DOVER STATE: MA ZIP: 02030 SC 13G 1 a2037181zsc13g.txt SC 13G D. SCHEDULE 13G ACQUISITION STATEMENT FOR SECURITIES PURCHASED PURSUANT TO SECTION 13 OF THE 1934 ACT SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. )* Boston Restaurant Associates, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 101122109 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2000 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) *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 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only) John P. Polcari, Jr. ###-##-#### - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group (See Instructions) (a) [ ] N/A (b) [ ] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization U.S.A. - -------------------------------------------------------------------------------- 5 COMMON STOCK Sole Voting Power: John P. Polcari, Jr. 731,346 John P. Polcari, Jr. COMMON STOCK OPTIONS 159,173 ------------------------------------------------------------------ 6 Shared Voting Power: John P. Polcari, Jr. and Lucille Salhany Polcari 68,670 Held by spouse Lucille Salhany 54,988 Held by spouse Lucille Salhany 12,741 as Trustee for Hal & Jake Polcari (minors) ------------------------------------------------------------------ Each 7 Sole Dispositive Power: Same as 5 Reporting Person With ------------------------------------------------------------------ 8 Shared Dispositive Power: Same as 6 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person COMMON STOCK COMMON STOCK OPTIONS John P. Polcari, Jr. 731,346 159,173 Held by spouse Lucille Salhany as Trustee for Hal & Jake 12,741 Polcari (minors) John P. Polcari, Jr. 68,670 and Lucille Salhany Polcari Held by spouse Lucille Salhany 54,988 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) [ ] - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 867,745/7,033,696 Common Stock 12.34% Common Stock 159,173/1,089,300 Common Stock Options 14.61% Common Stock Options - -------------------------------------------------------------------------------- 12 Type of Reporting Person (See Instructions) John P. Polcari, Jr. IN Lucille Salhany IN Minor Children IN - -------------------------------------------------------------------------------- By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of its knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. Date: February 5, 2001 By: /s/ John P. Polcari, Jr. ------------------------ Name: John P. Polcari, Jr. -----END PRIVACY-ENHANCED MESSAGE-----