-----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, CkXAmfPH6JWX4Wdy0m8qSDe6+OntX/XGMhoyza6nEKcfVPesxWRLRNcFF1s5rUXw LKTJ0vHNeHNO9IksoYHavw== 0000950131-01-001122.txt : 20010223 0000950131-01-001122.hdr.sgml : 20010223 ACCESSION NUMBER: 0000950131-01-001122 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PEAPOD INC CENTRAL INDEX KEY: 0001036992 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 364118175 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-53105 FILM NUMBER: 1544379 BUSINESS ADDRESS: STREET 1: 9933 WOODS DR STREET 2: STE 375 CITY: SKOKIE STATE: IL ZIP: 60077 BUSINESS PHONE: 8475839400 MAIL ADDRESS: STREET 1: 9933 WOODS DRIVE STREET 2: STE 375 CITY: SKOKIE STATE: IL ZIP: 60077 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PARKISNON ANDREW B CENTRAL INDEX KEY: 0001079267 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 9933 WOODS DRIVE CITY: SKOKIE STATE: IL ZIP: 60077 BUSINESS PHONE: 8475839400 MAIL ADDRESS: STREET 1: 9933 WOODS DRIVE CITY: SKOKIE STATE: IL ZIP: 60077 SC 13G 1 0001.txt SCHEDULE 13G - THOMAS L. PARKINSON UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) Information to be included in Statements Filed Pursuant to Rule 13d-1(b)(c) and (d) and Amendments thereto Filed Pursuant to Rule 13d-2(b) (Amendment No._____)* Peapod, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, par value $0.01 per share, including associated preferred stock purchase rights - -------------------------------------------------------------------------------- (Title of Class of Securities) 704718 10 5 ------------------------------ (CUSIP Number) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-1(c) [X] 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 disclosures provided in a prior cover page. The information required on 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. 704718 10 5 13G Page 2 of 5 Pages ----------- - ------------------------------------------------------------------------------ NAMES OF REPORTING PERSONS. 1 I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY). Thomas L. Parkinson - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) 2 (a) [_] (b) [_] Not Applicable - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 U.S. Citizen - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF 1,197,109 Shares* SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 OWNED BY 0 ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 1,197,109 Shares* PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 0 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 1,197,109 Shares* - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES 10 (SEE INSTRUCTIONS) Not Applicable - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 6.6% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) 12 IN - ------------------------------------------------------------------------------ * Includes 82,514 shares which are held in trusts for the benefit of Mr. Parkinson's nephews and with respect to which Mr. Parkinson serves as trustee, and 28,405 shares which are owned by Mr. Parkinson's minor children. Mr. Parkinson disclaims beneficial ownership with respect to such shares. Also includes 223,091 shares issuable pursuant to options which are exercisable within 60 days. 2 Item 1 (a) Name of Issuer Peapod, Inc. (b) Address of Issuer's Principal Executive Offices 9933 Woods Drive, Skokie, Illinois 60077 Item 2 (a) Name of Person Filing Thomas L. Parkinson (b) Address of Principal Business Office or, if none, Residence 9933 Woods Drive, Skokie, Illinois 60077 (c) Citizenship U.S. Citizen (d) Title of Class of Securities Common Stock, par value $.01 per share, including associated preferred stock purchase rights. (e) CUSIP Number 704718 10 5 Item 3. NOT APPLICABLE Item 4. Ownership. (a) Amount beneficially owned: 1,197,109 Shares* (b) Percent of class: 6.6% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote 1,197,109* (ii) Shared power to vote or to direct the vote 0 (iii) Sole power to dispose or to direct the disposition of 1,197,109* (iv) Shared power to dispose or to direct the disposition of 0 * Includes 82,514 shares which are held in trusts for the benefit of Mr. Parkinson's nephews and with respect to which Mr. Parkinson serves as trustee, and 28,405 shares which are owned by Mr. Parkinson's minor children. Mr. Parkinson disclaims beneficial ownership with respect to such shares. Also includes 223,091 shares issuable pursuant to options which are exercisable within 60 days. 3 Item 5. Ownership of Five Percent or Less of a Class. NOT APPLICABLE Item 6. Ownership of More than Five 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. NOT APPLICABLE Item 8. Identification and Classification of Members of the Group. NOT APPLICABLE Item 9. Notice of Dissolution of a Group NOT APPLICABLE Item 10. Certification NOT APPLICABLE 4 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. February 14, 2001 ---------------------------------- Date /s/ Thomas L. Parkinson ---------------------------------- Signature Thomas L. Parkinson ---------------------------------- Name/Title 5 -----END PRIVACY-ENHANCED MESSAGE-----