-----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, TlDmNXj2+5u9jypu3DpXZiee5CfrnzZkHD25d1kHGXZoQ7SaBI16j821Oh/W3BEX nLnyGRT6DObXLl7nouZqxg== 0001047469-03-001849.txt : 20030121 0001047469-03-001849.hdr.sgml : 20030120 20030121101157 ACCESSION NUMBER: 0001047469-03-001849 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030121 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SALHANY LUCILE S CENTRAL INDEX KEY: 0001018813 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: UNITED PARAMOUNT NETWORK STREET 2: 11800 WILSHIRE BLVD CITY: LOS ANGELES STATE: CA ZIP: 90025 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: 1934 Act SEC FILE NUMBER: 005-46322 FILM NUMBER: 03518775 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 SC 13G 1 a2101125zsc13g.txt SCHEDULE 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, 2002 - -------------------------------------------------------------------------------- (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) Lucille Salhany - -------------------------------------------------------------------------------- 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 Sole Voting Power Common Stock Number of Shares Beneficially Lucille Salhany Trustee Owned by for Hal & Jake Each Polcari (minors) 12,741 Reporting Person With Lucille Salhany 54,988 ------------------------------------------------------- 6 Shared Voting Power Common Stock John P. Polcari, Jr. and Lucille Salhany Polcari 68,670 Held by Spouse John P. Polcari, Jr. 731,346 Common Stock Options Held by Spouse John P. Polcari, Jr. 84,173 ------------------------------------------------------- 7 Sole Dispositive Power Same as 5 ------------------------------------------------------- 8 Shared Dispositive Power Same as 6 - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person Common Stock Lucille Salhany 12,741 for Hal & Jake Polcari (minors) Lucille Salhany 54,988 Lucille Salhany Polcari & John P. Polcari, Jr. 68,670 Held by spouse John P. Polcari, Jr. 731,346 Common Stock Options Held by spouse John P. Polcari, Jr. 84,173 Held by Lucille Salhany 30,000 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) [_] - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 867,745/7,035,170 Common Stock 12.33% Common Stock 84,173/912,146 Common Stock Options 9.2% Common Stock Options 30,000/912,146 Common Stock Options 3.3% Common Stock Options - -------------------------------------------------------------------------------- 12 Type of Reporting Person (See Instructions) John L. 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: January 16, 2003 By: /s/ Lucille Salhany ----------------------------------- Name: Lucille Salhany -----END PRIVACY-ENHANCED MESSAGE-----