-----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, Tq+9yyxGK8vw9MHbfytKoL7qADTO2XjXS5apb1ZpKZxMyW+XGdZoS9JwfXRIXbjl p5Q32CO3L3GkosM0NCZEZw== 0000901839-04-000004.txt : 20040924 0000901839-04-000004.hdr.sgml : 20040924 20040924095211 ACCESSION NUMBER: 0000901839-04-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040922 FILED AS OF DATE: 20040924 DATE AS OF CHANGE: 20040924 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: 041043933 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 2004-09-22 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 2004-09-22 4 G 0 6743984 0 A 18516200 I See footnote Common Stock, $1.00 Par Value 470801 D On September 22, 2004, the Estate of Henrietta Milstein, pursuant to the terms of the last will & testament of Henrietta Milstein, transferred 6,743,984 shares of issuer common stock to the Trust Established Under Article SIXTH of the Last Will and Testament of Henrietta Milstein (the "Trust"). The reporting person may be deemed to have an indirect beneficial interest in the shares owned by the Trust because the reporting person is a beneficiary under the Trust and has limited dispositive rights with respect to the shares owned by the Trust. The reporting person disclaims any such interest. Also includes 11,722,216 shares representing the reporting person's proportionate interest in 12,000,000 shares held by Samgray, L.P. The reporting person is a limited partner in Samgray, L.P., and members of the reporting person's family control the general partner of Samgray, L.P. /s/ Monroe Milstein 2004-09-23 -----END PRIVACY-ENHANCED MESSAGE-----