-----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, FAQWpo7R3Ak7E5Bl7a3nzk8ptkXR1JpBQ4OdWsW/6VGXoKa/KJG6nLGsXpVaPsj3 z0WJrnDe9OcMGoFwOB6rSA== 0000910680-05-000475.txt : 20050715 0000910680-05-000475.hdr.sgml : 20050715 20050715101536 ACCESSION NUMBER: 0000910680-05-000475 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050630 FILED AS OF DATE: 20050715 DATE AS OF CHANGE: 20050715 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JACLYN INC CENTRAL INDEX KEY: 0000052969 STANDARD INDUSTRIAL CLASSIFICATION: LEATHER & LEATHER PRODUCTS [3100] IRS NUMBER: 221432053 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 635 59TH STREET CITY: WEST NEW YORK STATE: NJ ZIP: 07093 BUSINESS PHONE: 2018689400 MAIL ADDRESS: STREET 1: 5801 JEFFERSON STREET CITY: WEST NEW YORK STATE: NJ ZIP: 07093 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GINSBURG ALLAN CENTRAL INDEX KEY: 0001052473 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-05863 FILM NUMBER: 05955995 BUSINESS ADDRESS: STREET 1: C/O JACLYN INC STREET 2: 635 59TH STREET CITY: WEST NEW YORK STATE: NJ ZIP: 07093 BUSINESS PHONE: 2127046393 MAIL ADDRESS: STREET 1: JACLYN INC STREET 2: 635 59TH STREET CITY: WEST NEW YORK STATE: NJ ZIP: 07093 4/A 1 f4a-ginsburga071405_ex.xml JULY 14, 2005 X0202 4/A 2005-06-30 2005-07-01 0 0000052969 JACLYN INC JLN 0001052473 GINSBURG ALLAN JACLYN INC 635 59TH STREET WEST NEW YORK NJ 07093 1 1 0 0 Chairman Common Stock, $1.00 par value 2005-06-30 4 J 0 15227 D 40653 I See footnotes Common Stock, $1.00 par value 2005-06-30 4 J 0 8470 A 49123 I See footnotes Distribution of shares to the Reporting Person and immediate family members upon termination of the Jaclyn, Inc. Employee Stock Ownership Plan (the "Plan"). Not applicable. Indirect shares include 29,884 shares held as custodian for the Reporting Person's children and 10,769 shares held by his wife. Rollover into individual retirement account of shares distributed to the Reporting Person upon termination of the Plan. Indirect shares exclude 1,984 shares owned by a charitable foundation as to which the Reporting Person acts as co-trustee. 128,254 shares are also held directly by the Reporting Person. /s/ Jaclyn Hartstein, Attorney-in-Fact 2005-07-14 -----END PRIVACY-ENHANCED MESSAGE-----