SC 13G 1 ej13g1201-1.txt FORM 13G ELLIOT S. JAFFE DECEMBER 31, 2001 CUSIP No.261570105 13G Page 1 of 5 Pages SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No.____________)(1) The Dress Barn, Inc. -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, par value $.05 -------------------------------------------------------------------------------- (Title of Class of Securities) CUSIP NO. 261570105 -------------------------------------------------------------------------------- (CUSIP Number) as of December 31, 2001 -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-1(c) [X] Rule 13d-1(d) ---------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No.261570105 13G Page 2 of 5 Pages ________________________________________________________________________________ 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Elliot S. Jaffe ###-##-#### ________________________________________________________________________________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] ________________________________________________________________________________ 3. SEC USE ONLY ________________________________________________________________________________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION Connecticut ________________________________________________________________________________ NUMBER OF 5. SOLE VOTING POWER SHARES 3,828,666 _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 3,828,666 _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER WITH ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,828,666 ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 20.9% ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON* HC ________________________________________________________________________________ *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No.261570105 13G Page 3 of 5 Pages ________________________________________________________________________________ Item 1. Item 1(a). Name of Issuer: The Dress Barn, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 30 Dunnigan Drive Suffern, New York 10901 ________________________________________________________________________________ Item 2. Item 2(a). Name of Person Filing: Elliot S. Jaffe Item 2(b). Address of Principal Business Office, or if None, Residence: 30 Dunnigan Drive Suffern, New York 10901 Item 2(c). Citizenship: United States Item 2(d). Title of Class of Securities: Common Stock, par value $.05 per share. Item 2(e). CUSIP Number: 261570105 ________________________________________________________________________________ Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: Not Applicable CUSIP No.261570105 13G Page 4 of 5 Pages ________________________________________________________________________________ Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a). Amount Beneficially Owned as of December 31, 2001: 3,828,666 (1) (b). Percent of Class as of December 31, 2001: 20.9%(1) (c). Number of shares at to which such person has as of December 31, 2001: (i) sole power to vote or to direct the vote: 3,828,666 (1) (ii) sole power to dispose or to direct the disposition of: 3,828,666 (1) (1) Includes 173,336 shares (0.9%) owned directly by Elliot S. Jaffe and 3,655,330 shares (20.0%) owned by The Jaffe FLP Voting Trust, a Connecticut limited partnership (the "Partnership"). Elliot S. Jaffe has sole power to vote and dispose of the shares owned by the Partnership. ________________________________________________________________________________ Item 5. Ownership of Five Percent or Less of a Class. Not Applicable ________________________________________________________________________________ Item 6. Ownership of More Than Five Percent on Behalf of Another Person. The Partnership owns 3,655,330 shares (20.0%) of common stock of The Dress Barn, Inc. (See Item 4). The partnership agreement of the Partnership provides that all income, gains and distributions of the Partnership (which could include dividends and the proceeds from the sale of such shares) must be allocated among the partners of the Partnership pro rata in accordance with their ownership interests in the Partnership. ________________________________________________________________________________ Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. Not Applicable CUSIP No.261570105 13G Page 4 of 5 Pages ________________________________________________________________________________ Item 8. Identification and Classification of Members of the Group. Not Applicable ________________________________________________________________________________ Item 9. Notice of Dissolution of Group. Not Applicable ________________________________________________________________________________ Item 10. Certifications. Not Applicable ________________________________________________________________________________ SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 8, 2002 Date /S/ Elliot S. Jaffe Signature