-----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, IgNeJtgOz3IB8AjOqlVATIMDYy0CEK4LvXqgpA67gb42FW+OMGD6Q6AzYiFVMkn9 seZO0VGrKFwos0KQmM8guw== 0001021408-01-510879.txt : 20020412 0001021408-01-510879.hdr.sgml : 20020412 ACCESSION NUMBER: 0001021408-01-510879 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20011129 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SHELLS SEAFOOD RESTAURANTS INC CENTRAL INDEX KEY: 0000935066 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 650427966 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-46593 FILM NUMBER: 1801745 BUSINESS ADDRESS: STREET 1: 16313 N DALE MABRY HWY STREET 2: STE 100 CITY: TAMPA STATE: FL ZIP: 33618 BUSINESS PHONE: 8139610944 MAIL ADDRESS: STREET 1: 16313 NORTH DALE MABRY STREET 2: SUITE 100 CITY: TAMPA STATE: FL ZIP: 33618 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ADLER FREDERICK R CENTRAL INDEX KEY: 0000919039 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 1520 SOUTH OCEAN BLVD CITY: PALM BEACH STATE: FL ZIP: 33480 BUSINESS PHONE: 4076592001 MAIL ADDRESS: STREET 1: 1520 SOUTH OCEAN BLVD CITY: PALM BEACH STATE: FL ZIP: 33480 SC 13D 1 dsc13d.txt SCHEDULE 13D SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4) SHELLS SEAFOOD RESTAURANTS, INC. (Name of Issuer) Common Stock, $.01 par value per share (Title of Class of Securities) 822809 109 (CUSIP Number) Frederick R. Adler 1520 South Ocean Boulevard Palm Beach, Florida 33480 (561) 659-2001 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) November 9, 2001 (Date of Events which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box. [_] (Continued on following pages) (Page 1 of 5 pages) Page 2 of 5 SCHEDULE 13D/A CUSIP No. 82209 10 9 - ------------------------------------------------------------------------------ NAMES OF REPORTING PERSONS 1 I.R.S. IDENTIFICATION NOS. OF ABOVE PERSON (entities only). (a) Frederick R. Adler (the "Reporting Person") - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP 2 (a) [_] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ SOURCE OF FUNDS 4 (a) Not Applicable. - ------------------------------------------------------------------------------ CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [_] 5 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 6 (a) USA - ------------------------------------------------------------------------------ SOLE VOTING POWER 7 NUMBER OF (a) 1,204,426/(+)/ SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 8 (a) -0- OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 9 REPORTING (a) 1,204,426/(+)/ PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 10 (a) -0- /(+)/ Includes 10,100 shares of Common Stock which are held by 1520 Partners Ltd. ("1520 Partners"), a limited partnership of which the Reporting Person is the general partner. - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 11 (a) 1,204,426 - ------------------------------------------------------------------------------ CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES 12 [_] - ------------------------------------------------------------------------------ Page 3 of 5 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 13 (a) 21.3% (**) - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON 14 (a) IN - ------------------------------------------------------------------------------ Page 4 of 5 This Amendment No. 4 is being filed by Frederick R. Adler (the "Reporting Person") to reflect (i) the surrender by the Adler Children Trust (the "Trust") to Shells Seafood Restaurants, Inc. (the "Company") and the cancellation by the Company thereof of warrants to purchase an aggregate of 350,000 shares of the Company's common stock, $.01 par value per share (the "Common Stock") at exercise prices ranging from $3.15 per share to $3.50 per share (the "Warrants") on November 9, 2001 and (ii) the transfer by Susan R. Chapman, Trustee of the Frederick R. Adler Intangible Asset Management Trust (the "Asset Trust"), of 953,926 shares of Common Stock from the Trust to Mr. Adler's personal account on November 9, 2001. Mr. Adler's spouse is Trustee of the Trust whose beneficiaries are Mr. Adler's children. Item 1. SECURITY AND ISSUER. No change. Item 2. IDENTITY AND BACKGROUND. No change. Item 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. N/A. Item 4. PURPOSE OF TRANSACTION. The Trust surrendered the Warrants to the Company on November 9, 2001. Item 5. INTEREST IN SECURITIES OF THE ISSUER. (a) The Reporting Person beneficially owns an aggregate of 1,194,326 shares of Common Stock representing 21.1% of the outstanding shares of Common Stock. 1520 Partners holds 10,100 shares of Common Stock representing less than 1% of the outstanding shares of Common Stock. Mr. Adler may be deemed to beneficially own the shares and warrants to purchase shares of Common Stock held by 1520 Partners for Federal securities laws purposes. However, Mr. Adler disclaims beneficial ownership of such shares for purposes of Section 13 of the Securities Exchange Act of 1934 and for all other purposes. (b) For information with respect to the power to vote or direct the vote and the power to dispose or to direct the disposition of the Common Stock beneficially owned by the Reporting Person, see Rows 7-10 of the cover page. (c) No transactions in the Common Stock were effected by the Reporting Person during the past 60 days. (d) Not applicable. (e) Not applicable. Item 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. None. Item 7. MATERIAL TO BE FILED AS EXHIBITS. None. 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. /s/ Frederick R. Adler ------------------------------- Frederick R. Adler Date: November 29, 2001 -----END PRIVACY-ENHANCED MESSAGE-----