-----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, E3Dj/Zlc8kVp0KMghCGObZBuQq4IJiBxN/oHelYuNUtveb4t7a1jKkTOFMHm90rB EoJok5zN5AfOlJHhup1hJA== 0000718916-05-000114.txt : 20051208 0000718916-05-000114.hdr.sgml : 20051208 20051208170037 ACCESSION NUMBER: 0000718916-05-000114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051208 FILED AS OF DATE: 20051208 DATE AS OF CHANGE: 20051208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILSTEIN STEPHEN E CENTRAL INDEX KEY: 0000902166 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08739 FILM NUMBER: 051253183 BUSINESS ADDRESS: STREET 1: C/O BURLINGTON COAT FACTORY WAREHOUSE CO STREET 2: 1830 ROUTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: 6093877800 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BURLINGTON COAT FACTORY WAREHOUSE CORP CENTRAL INDEX KEY: 0000718916 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 221970303 STATE OF INCORPORATION: DE FISCAL YEAR END: 0531 BUSINESS ADDRESS: STREET 1: 1830 RTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: 6093877800 MAIL ADDRESS: STREET 1: 1830 ROUTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-12-08 0 0000718916 BURLINGTON COAT FACTORY WAREHOUSE CORP BCF 0000902166 MILSTEIN STEPHEN E C/O BURLINGTON COAT FACTORY 1830 ROUTE 130 BURLINGTON NJ 08016 1 1 0 0 Executive Vice President Common Stock, $1.00 Par Value 2005-12-08 5 G 0 E 468801 0 A 468801 I See footnote Common Stock, $1.00 Par Value 2538745 D Common Stock, $1.00 Par Value 207329 I See footnote Represents shares that were transferred by gift to the MM 2005 Intangibles Trust as to which the reporting person is trustee and the reporting person's father is the settlor and beneficiary. The reporting person may be deemed to have a beneficial interest in such shares by reason of Rule 16a-1(a)(2), but disclaims any pecuniary interest in such shares. Includes 79,379 shares held by the Stephen Milstein 1994 Trust U/A dated July 8, 1994, and 13,032 shares held by The SGM Trust U/A dated December 30, 1995, trusts established for the benefit of the children of the reporting person. Such shares are reported by reason of Rule 16a-1(a)(2)(ii)(A), but the reporting person disclaims any pecuniary interest in such shares. Also includes 16,068 shares held by The AHM Trust U/A dated December 31, 1984 and 22,922 shaes held by The DJM Trust U/A dated November 4, 1988, trusts of which the reporting person is the trustee. The reporting person disclaims any pecuniary interest in such shares. Also includes 75,928 shares owned by Samgray, L.P., a limited partnership. The reporting person, as a member of Latzim Family, LLC (the general partner of Samgray, L.P.) and as a limited partner of Samgray, L.P., has a pecuniary interest in these shares. Stephen E. Milstein 2005-12-08 -----END PRIVACY-ENHANCED MESSAGE-----