SC 13G/A 1 schedule13gjacobs-2002.txt 2002 FILING FOR HENRY D. JACOBS, JR. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) Information to be Included in Statements Filed Pursuant to Rule 13d-1(b), (c) and (d) and Amendments Thereto Filed Pursuant to Rule 13d-2. Under the Securities Exchange Act of 1934 (Amendment No. 6)* One Price Clothing Stores, Inc. ------------------------------- (Name of Issuer) Common Stock, $.01 par value ---------------------------- (Title of Class of Securities 682411 20 2 ----------- CUSIP Number Annual Filing ------------- (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) |X| Rule 13d-1(c) |_| Rule 13d-1(d) *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 ("Act") 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. 682411 20 2 13G Page 2 of 5 -------- -------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (Entities Only) Henry D. Jacobs, Jr. --------- --------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ___ (b) ___ --------- --------------------------------------------------------------------------------------------------- 3 SEC USE ONLY --------- --------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America ------------------------------------------------------------------------------------------------------------ 5 SOLE VOTING POWER 449,486 NUMBER OF SHARES --------------------------------------------------------------------------------- BENEFICIALLY OWNED BY 6 SHARED VOTING POWER EACH REPORTING 47,143 (See Note 1) PERSON WITH --------------------------------------------------------------------------------- 7 SOLE DISPOSITIVE POWER 449,486 -- ----------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 47,143 (See Note 1) -------------------------- ---------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 496,629 (See Note 1) -------------------------- ---------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES |_| * -------------------------- ---------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 16.9% -------------------------- ---------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN -------------------------- ---------------------------------------------------------------------------------- * SEE INSTRUCTION BEFORE FILLING OUT!
Item 1(a) Name of Issuer: One Price Clothing Stores, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 290 Commerce Park Highway 290 Duncan, South Carolina 29334 Item 2(a) Name of Person Filing: Henry D. Jacobs, Jr. Item 2(b) Address of Principal Business Office, or, if none, Residence: 320 Dale Drive Spartanburg, South Carolina 29307 Item 2(c) Citizenship: United States of America Item 2(d) Title of Class of Securities: Common Stock, $.01 par value per share Items 2(e) CUSIP Number: 682411 20 2 Item 3 If this statement is filed pursuant to Rules 13d-1-(b) or 13d-2(b), check whether the person filing is a: Inapplicable Items 4 Ownership If the percent of the class owned, as of December 31 of the year covered by the statement, or as of the last day of any month described in Rule 13d-1 (b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) Amount beneficially owned: 496,629 (See Note 1) 3 (b) Percent of Class: 16.9% (c) Number of shares as to which such person has: (i) power to vote or to direct the vote: 449,486 (ii) shares power to vote or to direct the vote: 47,143 (See Note 1) (iii) sole power to dispose or to direct the disposition of: 449,486 (iv) shares power to dispose or to direct the disposition of: 47,143 (See Note 1) Note 1 Mr. Jacobs may be deemed to share voting and investment power with respect to an aggregate of 47,143 shares held of record by his wife. The filing of this statement shall not be construed as an admission that Mr. Jacobs is, for purposes of Section 13(d) or 13(g) of the Securities Exchange Act of 1934, the beneficial owner of such shares. Item 5 Ownership of Five Percent or Less of a Class. Inapplicable Item 6 Ownership of More than five Percent on Behalf of Another Person. Inapplicable Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported by the Parent Holding Company. Inapplicable 4 Item 8 Identification and Classification of the Members of the Group. Inapplicable Item 9 Notice of Dissolution of Group. Inapplicable Item 10 Certification Inapplicable Signature By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. Date: February 11, 2002 -------------------------- Signature: /s/ Henry D. Jacobs, Jr. -------------------------- Name: Henry D. Jacobs, Jr. 5