0001181431-12-001920.txt : 20120109 0001181431-12-001920.hdr.sgml : 20120109 20120109161405 ACCESSION NUMBER: 0001181431-12-001920 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111230 FILED AS OF DATE: 20120109 DATE AS OF CHANGE: 20120109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Waite Carol Farmer CENTRAL INDEX KEY: 0001314571 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34249 FILM NUMBER: 12517704 MAIL ADDRESS: STREET 1: FARMER BROS CO STREET 2: 20333 S NORMANDIE AV CITY: TORRANCE STATE: CA ZIP: 90502 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Farmer Richard F CENTRAL INDEX KEY: 0001314759 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34249 FILM NUMBER: 12517705 MAIL ADDRESS: STREET 1: FARMER BROS CO STREET 2: 20333 S NORMANDIE AV CITY: TORRANCE STATE: CA ZIP: 90502 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grossman Jeanne Farmer CENTRAL INDEX KEY: 0001315366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34249 FILM NUMBER: 12517703 MAIL ADDRESS: STREET 1: FARMER BROS CO STREET 2: 20333 S NORMANDIE AVENUE CITY: TORRANCE STATE: CA ZIP: 90502 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FARMER BROTHERS CO CENTRAL INDEX KEY: 0000034563 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 950725980 STATE OF INCORPORATION: CA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 20333 S NORMANDIE AVE CITY: TORRANCE STATE: CA ZIP: 90502 BUSINESS PHONE: 3107875200 MAIL ADDRESS: STREET 1: 20333 SOUTH NORMANDIE AVENUE CITY: TORRANCE STATE: CA ZIP: 90502 4 1 rrd329931.xml DECEMBER 2011 UPDATE X0304 4 2011-12-30 0 0000034563 FARMER BROTHERS CO FARM 0001314571 Waite Carol Farmer 20333 S. NORMANDIE AVE TORRANCE CA 90502 0 0 1 1 Trustee, Beneficiary, Settlor 0001315366 Grossman Jeanne Farmer 20333 SOUTH NORMANDIE AVENUE TORRANCE CA 90502 1 0 1 1 Trustee, Beneficiary, Settlor 0001314759 Farmer Richard F 20333 S NORMANDIE AVE TORRANCE CA 90502 0 0 1 1 Trustee, Beneficiary, Settlor Farmer Bros. Co. Common Stock 2011-12-30 2011-12-30 4 J 0 2617530 0 D 6399822 I See Footnote 1 Farmer Bros. Co. Common Stock 2011-12-30 2011-12-30 4 J 0 297404 0 A 6399822 I See Footnote 2 Farmer Bros. Co. Common Stock 2011-12-30 2011-12-30 4 J 0 297403 0 A 6399822 I See Footnote 3 Farmer Bros. Co. Common Stock 2011-12-30 2011-12-30 4 J 0 297403 0 A 6399822 I See Footnote 4 Farmer Bros. Co. Common Stock 2011-12-30 2011-12-30 4 J 0 855275 0 A 6399822 I See footnote 5 Farmer Bros. Co. Common Stock 2011-12-30 2011-12-30 4 J 0 870045 0 A 6399822 I See footnote 6 On December 30, 2011, in connection with its dissolution, Farmer Equities, LP distributed all shares of Farmer Brothers Co. common stock held by it to various trusts for which Carol Farmer Waite, Jeanne Farmer Grossman and Richard F. Farmer serve as trustees, including the trusts that were the general partners of Farmer Equities, LP (the "Distribution"). No shares were purchased or sold. In connection with the Distribution, 297,404 shares of Farmer Brothers Co. common stock held by Farmer Equities, LP were distributed to a trust for which Ms. Waite is the sole trustee and settlor. No shares were purchased or sold. In connection with the Distribution, 297,403 shares of Farmer Brothers Co. common stock held by Farmer Equities, LP were distributed to a trust for which Ms. Grossman is the sole trustee and settlor. No shares were purchased or sold. In connection with the Distribution, 297,403 shares of Farmer Brothers Co. common stock held by Farmer Equities, LP were distributed to a trust for which Mr. Farmer is the sole trustee and settlor. No shares were purchased or sold. In connection with the Distribution, 855,275 shares of Farmer Brothers Co. common stock held by Farmer Equities, LP were distributed to a family trust for which Ms. Waite and Ms. Grossman are the co-trustees. The shares held by such trust are beneficially owned by each of Ms. Waite, Ms. Grossman and Mr. Farmer to the extent of their proportionate interests in such trust, provided that 37,000 shares held by such trust are held in trust for the benefit of Ms. Grossman's daughter. At the option of the Reporting Persons, the entire amount of the trust's interest in the shares is being reported. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or her pecuniary interest therein. No shares were purchased or sold. In connection with the Distribution, 870,045 shares of Farmer Brothers Co. common stock held by Farmer Equities, LP were distributed to a family trust for which Ms. Waite and Ms. Grossman are the co-trustees. The shares held by such trust are beneficially owned by each of Ms. Waite, Ms. Grossman and Mr. Farmer to the extent of their proportionate interests in such trust. At the option of the Reporting Persons, the entire amount of the trust's interest in the shares is being reported. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or her pecuniary interest therein. No shares were purchased or sold. /s/ Carol Farmer Waite 2012-01-09 /s/ Carol Farmer Waite, Attorney-In-Fact for Jeanne Farmer Grossman 2012-01-09 /s/ Carol Farmer Waite, Attorney-In-Fact for Richard F. Farmer 2012-01-09