-----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, VlOYp6GRAIiPdMKMvahIH+BuPOFPw45HtqzvbzImxq4Q4RVznrZ/p+Mj0gpYWGti lzf5r6BV4OUj5VjLoN8lrQ== 0000903423-00-000088.txt : 20000208 0000903423-00-000088.hdr.sgml : 20000208 ACCESSION NUMBER: 0000903423-00-000088 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000128 FILED AS OF DATE: 20000207 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PARAGON TRADE BRANDS INC CENTRAL INDEX KEY: 0000889429 STANDARD INDUSTRIAL CLASSIFICATION: CONVERTED PAPER & PAPERBOARD PRODS (NO CONTAINERS/BOXES) [2670] IRS NUMBER: 911554663 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-11368 FILM NUMBER: 525825 BUSINESS ADDRESS: STREET 1: 180 TECHNOLOGY PARLWAY CITY: NORCROSS STATE: GA ZIP: 30092 BUSINESS PHONE: 6789695000 MAIL ADDRESS: STREET 1: 180 TECHNOLOGY PKWY CITY: NORCROSS STATE: GA ZIP: 30092 COMPANY DATA: COMPANY CONFORMED NAME: ONTARIO TEACHERS PENSION PLAN BOARD CENTRAL INDEX KEY: 0000937567 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 5650 YONGE STREET STREET 2: NORTH YORK ONTARIO M2M 4H5 CITY: CANADA BUSINESS PHONE: 4167305300 MAIL ADDRESS: STREET 1: 5650 YONGE STREET STREET 2: NORTH YORK ONTARIO M2M 4H5 CITY: CANADA 3 1 FORM 3 FILING OMB APPROVAL OMB Number 3235-0104 Expires: December 31, 2001 Estimated average burden hours per response......0.5 ====== FORM 3 ====== U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ================================================================= 1. Name and Address of Reporting Person* Ontario Teachers' Pension Plan Board ----------------------------------------------- (Last) (First) (Middle) 5650 Yonge Street, 5th Floor ----------------------------------------------- (Street) Toronto, Ontario, Canada M2M 4H5 ----------------------------------------------- (City) (State) (Zip) ================================================================= 2. Date of Event Requiring Statement (Month/Day/Year) 1/28/00 ----------------------------- ================================================================= 3. IRS or Social Security Number of Reporting Person, if an Entity (Voluntary) ----------------------------- ================================================================= 4. Issuer Name and Ticker or Trading Symbol Paragon Trade Brands, Inc. (PGNFQ) ------------------------------------ ================================================================= 5. Relationship of Reporting Person to Issuer (Check all applicable) Director X 10% Owner ----- ----- Officer (give ----- Other (specify ----- title below) below) --------------------------- ================================================================= 6. If Amendment, Date of Original (Month/Day/Year) ------------------------- ================================================================= 7. Individual or Joint/Group Filing (Check applicable line) X Form filed by One Reporting Person ----- Form filed by More than One Reporting Person ----- =================================================================
Table I -- Non-Derivative Securities Beneficially Owned ========================================================================================================== 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned Direct (D) or Beneficial Ownership (Instr. 4) Indirect (I) (Instr. 5) - ------------------- ----------------------- ----------------- ----------------------- Common Stock, par value $0.1 2,401,953 D - ---------------------------------------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly * If the Form is filed by more than one Reporting Person, see instruction 5(b)(v).
FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
================================================================================================================================== 1. Title of Derivative 2. Date Exercisable and 3. Title and Amount of Sec- 4. Conversion or 5. Ownership 6. Nature of Security Expiration Date urities Underlying Deriva- Exercise Price Form of Indirect (Instr. 4) (Month/Day/Year) tive Security (Instr. 4) of Derivative Derivative Beneficial -------------------- -------------------------- Security Security: Ownership Date Expir- Amount or Direct (D) (Instr.5) Exerci- ation Number of or Indirect sable Date Title Shares (I) (Instr. 5) ------------------ ------- ------- ----- ------------ -------------- ---------- --------- - ----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: Ontario Teacher's Pension Plan /s/ Jane Beatty February 4, 2000 - --------------------------------------- --------------------- ** Signature of Reporting Person Date Jane Beatty ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. SEC 1473 (7-96)
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