-----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, V2QhZRTmfJSpBLu5uw8hBSrAwPts9lDWX8fJzU3ZMKxH4bWC0QEDTD8z8fLGZMd1 VRQxJSxwUbWpc7KLhxw2bA== 0000901845-04-000003.txt : 20040127 0000901845-04-000003.hdr.sgml : 20040127 20040127155845 ACCESSION NUMBER: 0000901845-04-000003 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040127 FILED AS OF DATE: 20040127 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 ANDREW R CENTRAL INDEX KEY: 0000901845 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-08739 FILM NUMBER: 04546417 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0201 4/A 2004-01-27 2004-01-27 0 0000718916 BURLINGTON COAT FACTORY WAREHOUSE CORP BCF 0000901845 MILSTEIN ANDREW R 1830 RT. 130 BURLINGTON NJ 08016 1 1 1 0 Executive Vice President Common Stock, $1.00 Par Value 2004-01-27 4 G 0 7500 0 D 2781395 D The amount of securities held indirectly by Andrew Milstein is 127,283. This includes 37,306 shares held by the Andrew Milstein Trust and 8,302 shares held by the AHM Trust and 9,675 shares held by the DJM Trust, trusts established for the benefit of the children of Andrew Milstein. Such shares are reported by reason of Rule 16a-1(a)(2)(ii)(A), but Andrew Milstein disclaims any pecuniary interest in such shares. This also includes 72,000 shares owned by Samgray, L.P., a limited partnership. Andrew Milstein, 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. This amended Form 4 is being filed to correct an inadvertent mistake contained in the Form 4 previously filed on January 27, 2004. The original Form 4 incorrectly indicated that this gift transaction was an acquisition of 7,500 shares when, in fact, this gift transaction was a disposition of 7,500 shares. /s/ Brian Flynn by power of attorney previously filed 2004-01-27 -----END PRIVACY-ENHANCED MESSAGE-----