-----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, RRvxoAT6JueXE2ZvtaCTZsHAGA9AYvgWt+RI9r017tA4Kxb7fvqvfRUVJzkejJvk WEgIyccww1xZEjzK/GCNMQ== 0001140361-08-012280.txt : 20080513 0001140361-08-012280.hdr.sgml : 20080513 20080513190635 ACCESSION NUMBER: 0001140361-08-012280 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080329 FILED AS OF DATE: 20080513 DATE AS OF CHANGE: 20080513 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 99 CENTS ONLY STORES CENTRAL INDEX KEY: 0001011290 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 952411605 STATE OF INCORPORATION: CA FISCAL YEAR END: 0329 BUSINESS ADDRESS: STREET 1: 4000 EAST UNION PACIFIC AVENUE CITY: CITY OF COMMERCE STATE: CA ZIP: 90023 BUSINESS PHONE: 3239808145 MAIL ADDRESS: STREET 1: 4000 EAST UNION PACIFIC AVENUE CITY: CITY OF COMMERCE STATE: CA ZIP: 90023 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AU ZONE INVESTMENTS NO 3 LLC CENTRAL INDEX KEY: 0001168388 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11735 FILM NUMBER: 08829083 BUSINESS ADDRESS: STREET 1: C/O 99 CENTS ONLY STORE STREET 2: 4000 UNION PACIFIC AVE CITY: CITY OF COMMERCE STATE: CA ZIP: 90023 BUSINESS PHONE: 3239808145 5 1 doc1.xml FORM 5 X0202 5 2008-03-29 0 0 1 0001011290 99 CENTS ONLY STORES NDN 0001168388 AU ZONE INVESTMENTS NO 3 LLC C/O 4000 UNION PACIFIC AVENUE CITY OF COMMERCE CA 90023 0 0 1 0 Common Stock 2007-10-30 4 J 0 L 5849 0 A 6865973 I See footnote Pro rata distribution of shares of Common Stock from the Meadowbrook Equity Fund III, LLC, of which Au Zone Investments #2, L.P. was a non-managing member, in connection with the liquidation of such fund. The reporting person is the general partner of Au Zone Investments #2, L.P., a limited partnership which is the holder of record of the shares. /s/ Jeff Gold 2008-05-13 -----END PRIVACY-ENHANCED MESSAGE-----