-----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, CdxT4mGKHDT4ta1vTS9SvBmAAw6Pixztl2bOdmSR4MP7MYUeZ0CHW7OomiT71/Ka 3nseVuITxRYeMokhuko4+A== 0000901839-04-000003.txt : 20040622 0000901839-04-000003.hdr.sgml : 20040622 20040622115645 ACCESSION NUMBER: 0000901839-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040618 FILED AS OF DATE: 20040622 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: 0530 BUSINESS ADDRESS: STREET 1: 1830 RTE 130 CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: 6093877800 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILSTEIN MONROE G CENTRAL INDEX KEY: 0000901839 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08739 FILM NUMBER: 04874069 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-06-18 0 0000718916 BURLINGTON COAT FACTORY WAREHOUSE CORP BCF 0000901839 MILSTEIN MONROE G 1830 RT. 130 BURLINGTON NJ 08016 1 1 1 0 Pres., CEO & Chairman Common Stock, $1.00 Par Value 2004-06-18 4 G 0 6000 0 D 469821 D Common Stock, $1.00 Par value 11772216 I See footnote Represents Monroe G. Milstein's proportionate interest in 12,000,000 shares held by Samgray, L.P. Monroe G. Milstein is a limited partner in Samgray, L.P., and members of Mr. Milstein's family control the general partner of Samgray, L.P. /s/ Monroe G. Milstein 2004-06-18 -----END PRIVACY-ENHANCED MESSAGE-----