-----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, S8E0JrDx/EkQlhbs6WjNtiSdONDKkB0uTgYErn/xGdcuHma++JbbtcaB1xOJv0Ie lIwR0KXnA9cR0wTquOFYqw== 0001209191-05-055879.txt : 20051107 0001209191-05-055879.hdr.sgml : 20051107 20051107132110 ACCESSION NUMBER: 0001209191-05-055879 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051104 FILED AS OF DATE: 20051107 DATE AS OF CHANGE: 20051107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAPAPORT ROSS S CENTRAL INDEX KEY: 0001125996 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31797 FILM NUMBER: 051182764 BUSINESS ADDRESS: STREET 1: C/O CRYSTAL ROCK SPRING WATER CO STREET 2: 1050 BUCKINGHAM STREET CITY: WATERTOWN STATE: CT ZIP: 06795 BUSINESS PHONE: 8005250070 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VERMONT PURE HOLDINGS LTD/DE CENTRAL INDEX KEY: 0001123316 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140] IRS NUMBER: 030366218 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 44 KRUPP DRIVE STREET 2: PO BOX 536 CITY: WILLISTON STATE: VT ZIP: 05495 BUSINESS PHONE: 8028601126 MAIL ADDRESS: STREET 1: 44 KRUPP DRIVE STREET 2: PO BOX 536 CITY: WILLISTON STATE: VT ZIP: 05495 FORMER COMPANY: FORMER CONFORMED NAME: VP MERGER PARENT INC DATE OF NAME CHANGE: 20000905 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-11-04 0 0001123316 VERMONT PURE HOLDINGS LTD/DE VPS 0001125996 RAPAPORT ROSS S 111 TOBY'S LANE NEW CANAAN CT 06840 1 0 1 0 CommonStock 4013658 I Trustee Common Stock 4013858 I Trustee Common Stock 4013958 I Trustee Common Stock 4015958 I Trustee Common Stock 4016958 I Trustee Common Stock 4017958 I Trustee Common Stock 4031358 I Trustee Common Stock 2005-11-04 4 P 0 300 1.93 A 4031658 I Trustee Common Stock 2005-11-04 4 P 0 9700 1.95 A 4041358 I Trustee Consists of shares held by the Reporting Person as Trustee of U/T/A dated 12/16/91 F/B/O Joan Baker et al. The Reporting Person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. Form 2 of 2. Please reference both forms for complete information related to this filing. Due to the limitation of the number of entries on a form, additional historical information is presented on page 1. /s/ Bruce S. MacDonald ** on behalf of Ross S. Rapaport. An effective confirming statement is on file with the commission. 2005-11-04 -----END PRIVACY-ENHANCED MESSAGE-----