-----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, An5TS75/KQVh2OC/VOmXTxZF5fLINUWkfIeZSeV1khWpbAy1ijaFZiC/UAbabS1i O7vaMDuK3sgx10BUHiPKIw== 0001025894-99-000233.txt : 19991018 0001025894-99-000233.hdr.sgml : 19991018 ACCESSION NUMBER: 0001025894-99-000233 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19991013 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COINSTAR INC CENTRAL INDEX KEY: 0000941604 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 943156448 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-52865 FILM NUMBER: 99727126 BUSINESS ADDRESS: STREET 1: 1800 114TH AVENUE SE STREET 2: SUITE 200 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 2066446789 MAIL ADDRESS: STREET 1: 13231 S E 36TH STREET STREET 2: SUITE 200 CITY: BELLEVUE STATE: WA ZIP: 98006 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ACORN VENTURES IS LLC CENTRAL INDEX KEY: 0001079601 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 911610156 STATE OF INCORPORATION: WA FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1309 114TH AVENUE SE CITY: BELLVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 4254621345 SC 13G 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )1 ------------ Coinstar, Inc. ----------------------------------------------------- (Name of Issuer) Common Stock ----------------------------------------------------- (Title of Class of Securities) 19259P300 ----------------------------------------------------- (CUSIP Number) - -------- 1 *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. 19259P300 --------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Acorn Ventures, Inc. IRS ID # - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ X ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION: Washington - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER 0 SHARES -------------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER 1,076,142 * OWNED BY -------------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER 0 REPORTING -------------------------------------------------------------- PERSON WITH 8 SHARED DISPOSITIVE POWER 1,076,142 * - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,076,142 * - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.75% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON: CO - -------------------------------------------------------------------------------- 13. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Rufus W. Lumry, III - -------------------------------------------------------------------------------- 14. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ X ] - -------------------------------------------------------------------------------- 15. SEC USE ONLY - -------------------------------------------------------------------------------- 16. CITIZENSHIP OR PLACE OF ORGANIZATION: United States - -------------------------------------------------------------------------------- NUMBER OF 17. SOLE VOTING POWER 19,000 SHARES -------------------------------------------------------------- BENEFICIALLY 18. SHARED VOTING POWER 1,076,142 * OWNED BY -------------------------------------------------------------- EACH 19. SOLE DISPOSITIVE POWER 19,000 REPORTING -------------------------------------------------------------- PERSON WITH 20. SHARED DISPOSITIVE POWER 1,076,142 * - -------------------------------------------------------------------------------- 21. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,095,142 * - -------------------------------------------------------------------------------- 22. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (21) EXCLUDES CERTAIN SHARES - -------------------------------------------------------------------------------- 23. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (21) 6.87% - -------------------------------------------------------------------------------- 24. TYPE OF REPORTING PERSON: IN - -------------------------------------------------------------------------------- * Includes 900,000 shares of Common Stock issuable on exercise of warrants currently exercisable. Item 1. Item 1(a) Name of Issuer: Coinstar, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 1800 - 114th Avenue S.E., Suite 200, Bellevue, Washington 98004 Item 2. 2(a) Name of Person Filing: Acorn Ventures, Inc. and Rufus W. Lumry, III, the sole shareholder of Acorn Ventures, Inc. 2(b) Address of Principal Business Office: 1309 - 114th Avenue S.E., Suite 200, Bellevue, Washington 98004 2(c) Citizenship: Acorn Ventures, Inc. is a Washington corporation. Rufus W. Lumry, III is a United States citizen. 2(d) Title of Class of Securities: Common Stock, $0.001 par value 2(e) CUSIP Number: 19259P300 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: (a) [ ] Broker or Dealer registered under Section 15 of the Act. (b) [ ] Bank as defined in Section 3(a)(6) of the Act. (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act. (d) [ ] Investment Company registered under Section 8 of the Investment Company Act of 1940. (e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) ( ) A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) ( ) A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940; (j) ( ) Group, in accordance with Rule 13d-1(b)(1)(ii)(J). Not Applicable Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. a. Amount Beneficially Owned: 1,095,142* *Includes 900,000 shares of Common Stock issuable on exercise of warrants currently exercisable, and 19,000 shares owned by a charitable remainder trust of which Mr. Lumry is trustee. b. Percent of class: 6.87% c. Number of shares as to which such person has: i. Sole power to vote or to direct the vote: 19,000* ii. Shared power to vote or to direct the vote: 1,076,142** iii.Sole power to dispose or to direct the disposition of: 19,000* iv. Shared power to dispose or to direct the disposition of:1,076,142** *Owned by charitable remainder trust of which Mr. Lumry is trustee. **Includes 900,000 shares of Common Stock issuable on exercise of warrants currently exercisable. Instruction. For computations regarding securities which represent a right to acquire an underlying security see Rule 13d-3(d)(1). Item 5. Ownership of 5 Percent or Less of a Class. Not Applicable Item 6. Ownership of More than 5 Percent on Behalf of Another Person. Not Applicable Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. Not Applicable Item 8. Identification and Classification of Members of the Group. Not Applicable Item 9. Notice of Dissolution of Group. Not Applicable Item 10. Certifications. Not Applicable 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. Dated: October 11, 1999 ACORN VENTURES, INC. By:/s/ Rufus W. Lumry ------------------- Rufus W. Lumry, III, President, Acorn Ventures, Inc. RUFUS W. LUMRY, III By: /s/ Rufus W. Lumry ------------------- Rufus W. Lumry, III SCHEDULE I Joint Filing Agreement Pursuant to Rule 13d-1(k)(1) The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G shall be filed on behalf of each of the undersigned without the necessity of filing additional joint filing agreements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning it contained therein, but shall not be responsible for the completeness and accuracy of the information concerning the others, except to the extent that it knows or has reason to believe that such information is inaccurate. This Agreement may be executed in any number of counterparts and all of such counterparts taken together shall constitute one and the same instrument. Dated: October 11, 1999 ACORN VENTURES, INC. By:/s/ Rufus W. Lumry ------------------- Rufus W. Lumry, III, President, Acorn Ventures, Inc. RUFUS W. LUMRY, III By: /s/ Rufus W. Lumry ------------------- Rufus W. Lumry, III -----END PRIVACY-ENHANCED MESSAGE-----