-----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, GHzwenpyW7i6NkTLrlOv4OOocq7vq7l7eJVHu0qRN6dFV003miwDSOuHYsTvtHbt 59ryhQT+hX/YSGXhzGY8Ig== 0000205700-99-000041.txt : 19991210 0000205700-99-000041.hdr.sgml : 19991210 ACCESSION NUMBER: 0000205700-99-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991130 FILED AS OF DATE: 19991209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NEW ENGLAND BUSINESS SERVICE INC CENTRAL INDEX KEY: 0000205700 STANDARD INDUSTRIAL CLASSIFICATION: MANIFOLD BUSINESS FORMS [2761] IRS NUMBER: 042942374 STATE OF INCORPORATION: DE FISCAL YEAR END: 0627 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-11427 FILM NUMBER: 99771272 BUSINESS ADDRESS: STREET 1: 500 MAIN ST CITY: GROTON STATE: MA ZIP: 01471 BUSINESS PHONE: 5084486111 COMPANY DATA: COMPANY CONFORMED NAME: BOLESKY EDWARD M CENTRAL INDEX KEY: 0001094145 STANDARD INDUSTRIAL CLASSIFICATION: MANIFOLD BUSINESS FORMS [2761] OFFICER STATE OF INCORPORATION: DE FISCAL YEAR END: 0627 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 500 MAIN ST CITY: GROTON STATE: MA ZIP: 01471 BUSINESS PHONE: 9784486111 MAIL ADDRESS: STREET 1: 500 MAIN ST CITY: GROTON STATE: MA ZIP: 01471 4 1 FORM 4 - 11/30/99 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). 1. Name and Address of Reporting Person Bolesky, Edward M. 500 Main Street Groton, MA 01471 2. Issuer Name and Ticker or Trading Symbol New England Business Service, Inc. NEB 3. IRS Identification Number of Reporting Person, if an entity (voluntary) 4. Statement for Month/Year 11/30/99 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (x) Officer (give title below) ( ) Other (specify below) Sr., V.P. & Pres NEBS Dir Mkt 7. Individual or Joint/Group Filing (Check applicable line) (x) Form Filed by One Reporting Person ( ) Form Filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock Par Value |11/30/|P | |2000 |A |22.625 |4155 [1] |D | | $1.00 |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock Par Value |11/30/|G |V|1000 |D | |3155 |D | | $1.00 |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock Par Value |11/30/|G |V|1000 |D | |2155 |D [2] | | $1.00 |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock Par Value | | | | | | |1000 |I [3] |Daughter | $1.00 | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock Par Value | | | | | | |5894 |I |401K [4] | $1.00 | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: 1. Total includes 12 shares purchased pursuant to a dividend reinvestment program. 2. Gift to emancipated daughter who does not reside within reporting person's household. The reporting person disclaims beneficial ownership of all securities held by his daughter, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securties for purposes of Section 16 or for any other purpose. 3. The reporting person disclaims beneficial ownership of all securities held by his daughter who resides with him, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securties for purposes of Section 16 or for any other purpose. 4. 401(k) is a unitized stock fund consisting of company stock and cash and the amount of securities listed on this form is expressed in equivalent shares. The amount of shares attributed to a plan participant and expressed as equivalent shares may change from time to time without the volition of the plan participant and depends upon the amount of cash in the fund, the fair market value of company stock, and the number of plan participants. BOLESKY, EDWARD M. SIGNATURE OF REPORTING PERSON /Signature/ Edward M. Bolesky DATE 12/9/99 -----END PRIVACY-ENHANCED MESSAGE-----