-----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, WpzGiH7hupWjruh82JeBKr9YHMm4zuEwWye4jopw7WFTaf9J4AWvOb6zF4c2pTey vO17o9AyTBxbFuk6fEEbxw== 0000927016-01-000603.txt : 20010212 0000927016-01-000603.hdr.sgml : 20010212 ACCESSION NUMBER: 0000927016-01-000603 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NUCO2 INC /FL CENTRAL INDEX KEY: 0000947577 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-CHEMICALS & ALLIED PRODUCTS [5160] IRS NUMBER: 650180800 STATE OF INCORPORATION: FL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-46469 FILM NUMBER: 1531076 BUSINESS ADDRESS: STREET 1: 2800 S E MARKET PLACE CITY: STUART STATE: FL ZIP: 34997 BUSINESS PHONE: 5612211754 MAIL ADDRESS: STREET 1: 2820 SE MARKET PLACE CITY: STUART STATE: FL ZIP: 34997 FORMER COMPANY: FORMER CONFORMED NAME: FOWLER CARBONICS INC DATE OF NAME CHANGE: 19951108 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BURR CRAIG L CENTRAL INDEX KEY: 0001066141 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O BURR EGAN DELEAGE & CO STREET 2: ONE POST OFFICE SQU #3800 CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: 6174828020 MAIL ADDRESS: STREET 1: C/O BURR EGAN DELEAGE & CO STREET 2: ONE POST OFFICE SQU #3800 CITY: BOSTON STATE: MA ZIP: 02109 SC 13G/A 1 0001.txt AMENDMENT #3 TO SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Amendment No. 3)* --- UNDER THE SECURITIES EXCHANGE ACT OF 1934 NuCo2 Inc. ------------------------------------- (Name of Issuer) Common Stock ------------------------------------- (Title of Class of Securities) 629428103 ------------------------------------- (CUSIP Number) December 31, 2000 - -------------------------------------------------------------------------------- (Date of Event, Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [X] Rule 13d-1(c) [_] Rule 13d-1(d) * 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. 629428103 Page 2 of 5 Pages ------------------- ----------------- - ------------------------------------------------------------------------------ NAMES OF REPORTING PERSONS. 1 SS or I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Craig L. Burr - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP 2 (a) [_] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 USA - ------------------------------------------------------------------------------ PLEASE ALSO REFER TO ATTACHMENT A SOLE VOTING POWER 5 NUMBER OF 131,000 SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 145,800 OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 131,000 PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 145,800 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 791,100 Please also refer to Attachment A, Footnote 7 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* 10 [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 11 9.43% - Please also refer to Attachment A - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON 12 IN - ------------------------------------------------------------------------------ *SEE INSTRUCTION BEFORE FILLING OUT! 2 ITEM 1. (a) Name of Issuer: NuCo2, Inc. ("Issuer") (b) Address of Issuer's Principal Executive Offices: 2800 Southeast Market Place Stuart, FL 34997 ITEM 2. (a) Name of Person Filing: Craig L. Burr (b) Address of Principal Business Office: c/o Burr, Egan, Deleage & Co. 200 Clarendon St. Floor 51 Boston, MA 02116 (c) Citizenship/Place of Organization: USA (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 629428103 ITEM 3. This statement is filed pursuant to Rule 13d-1(c) ITEM 4. Ownership. (a) Amount Beneficially Owned: 791,100 Please also refer to Attachment A (b) Percent of Class: 9.43% (c) Number of shares as to which such person has: PLEASE ALSO REFER TO ATTACHMENT A (i) sole power to vote or to direct the vote: 131,000 (ii) shares power to vote or to direct the vote: 145,800 (iii) sole power to dispose or to direct the disposition of: 131,000 (iv) shared power to dispose or to direct the disposition of: 145,800 ITEM 5. Ownership of Five Percent or Less of a Class Not applicable 3 ITEM 6. Ownership of More than Five Percent on Behalf of Another Person Please refer to Attachment A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. 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. Certification 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 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 my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 9, 2001 By: /s/ Craig L. Burr _______________________ Craig L. Burr 4 ATTACHMENT A NuCo2 Inc. COMMON STOCK OWNERSHIP TABLE AS OF DECEMBER 31, 2000 A) SHARES OWNED BY / AFFILIATED WITH WILLIAM P. EGAN
Beneficial Owner (issued in the name of) # of Shares Date Acquired - ---------------------------------------- ----------- ------------- William P. Egan 131,000 Various times from 6/29/98 thru 4/19/00 The William P. Egan 1985 Children's Trust (1) (2) 83,750 Various times from 6/29/98 thru 12/31/98 The William P. Egan 1986 Children's Trust (1) (2) 62,050 Various times from 6/29/98 thru 4/24/00 Total: 276,800
B) SHARES OWNED BY / AFFILIATED WITH CRAIG L. BURR
Beneficial Owner (issued in the name of) # of Shares Date Acquired - --------------------------------------- ----------- ------------- Craig L. Burr 131,000 Various times from 11/4/97 thru 6/12/98 The Craig L. Burr 1986 Children's Trust (3) (4) 131,000 Various times from 11/4/97 thru 6/12/98 " " " " " " " " " 200,000 5/24/99 Matthew Burr (5) 26,150 7/22/98 and 7/24/98 Lander Burr (6) 26,150 7/22/98 and 7/24/98 Total: 514,300
Note: - --------------- Craig Burr was also granted a Director's Stock Option on May 26, 1999 (the date he became a director) for 6,000 shares of Common Stock C) SUMMARY Total # of Shares ----------------- William P. Egan & affiliated entities 276,800 Craig L. Burr & affiliated entities 514,300 Total: 791,100 (7) Total shares of NuCo2 issued & outstanding as of 12/31/00: 8,386,126 9.43% (1) of which Mr. Egan, a principal of Burr, Egan, Deleage & Co. (a venture capital firm founded by Mssrs. Craig L. Burr, William P. Egan and Jean Deleage), is neither a trustee nor claims any beneficial ownership. (2) of which Mr. Burr, a principal of Burr, Egan, Deleage & Co. (a venture capital firm founded by Mssrs. Craig L. Burr, William P. Egan and Jean Deleage), is a trustee but disclaims all beneficial ownership. (3) of which Mr. Burr, a principal of Burr, Egan, Deleage & Co. (a venture capital firm founded by Mssrs. Craig L. Burr, William P. Egan and Jean Deleage), is neither a trustee nor claims any beneficial ownership. (4) of which Mr. Egan, a principal of Burr, Egan, Deleage & Co. (a venture capital firm founded by Mssrs. Craig L. Burr, William P. Egan and Jean Deleage), is a trustee but disclaims all beneficial ownership. (5) of which Matthew Burr, a son of Craig L. Burr, is the beneficial owner and to which Craig L. Burr disclaims beneficial ownership. (6) of which Lander Burr, a son of Craig L. Burr, is the beneficial owner and to which Craig L. Burr disclaims beneficial ownership. (7) Mr. Burr and Mr. Egan may consult with each other in connection with the acquisition and disposition of shares of NuCo2 Inc. 5 -----END PRIVACY-ENHANCED MESSAGE-----