0001181431-12-047929.txt : 20120829 0001181431-12-047929.hdr.sgml : 20120829 20120829170025 ACCESSION NUMBER: 0001181431-12-047929 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120827 FILED AS OF DATE: 20120829 DATE AS OF CHANGE: 20120829 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roundy's, Inc. CENTRAL INDEX KEY: 0001536035 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 272337996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 875 EAST WISCONSIN AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-231-5000 MAIL ADDRESS: STREET 1: 875 EAST WISCONSIN AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53202 FORMER COMPANY: FORMER CONFORMED NAME: Roundy's Parent Company, Inc. DATE OF NAME CHANGE: 20111130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLIS STEIN & PARTNERS III-C, L.P. CENTRAL INDEX KEY: 0001140308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35422 FILM NUMBER: 121063834 BUSINESS ADDRESS: STREET 1: ONE NORTH WACKER DRIVE, SUITE 4800 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-422-2400 MAIL ADDRESS: STREET 1: ONE NORTH WACKER DRIVE, SUITE 4800 CITY: CHICAGO STATE: IL ZIP: 60606 FORMER NAME: FORMER CONFORMED NAME: WILLIS STEIN & PARTNERS III-C LP DATE OF NAME CHANGE: 20010509 4 1 rrd354639.xml FORM 4 X0306 4 2012-08-27 1 0001536035 Roundy's, Inc. RNDY 0001140308 WILLIS STEIN & PARTNERS III-C, L.P. 1 NORTH WACKER DRIVE SUITE 480 CHICAGO IL 60606 0 0 1 0 Common Stock 2012-08-27 4 J 0 120170 0 D 0 D Willis Stein & Partners III-C, L.P. ("III-C") contributed the reported shares to Willis Stein & Partners III-C Sub, L.P. ("III-C Sub") in connection with an internal restructuring. The limited partners' and general partner's ownership interests were not changed in connection with the contribution. Willis Stein & Partners Management III, L.P. ("Fund III General Partner") is the sole general partner of both the reporting person and III-C Sub. Willis Stein & Partners Management III, LLC ("Management III") is the sole general partner of Fund III General Partner. John R. Willis and Avy H. Stein are the Managing Partners of Management III. The Managing Partners, acting together, have the power to vote or dispose of these shares. Accordingly, each of Fund III General Partner, Management III and Messrs. Willis and Stein remain the beneficial owner of these shares. Neither of the Managing Partners, acting alone, has voting or dispositive authority over any shares. WILLIS STEIN & PARTNERS III-C, L.P., By: Willis Stein & Partners Management III, L.P., Its: General partner, By: Willis Stein & Partners Management III, LLC, Its: General Partner, /s/ David Mills, By: David Mills, Its: Chief Financial Officer/s/ 2012-08-29