-----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, EPzr89ZdwgB9nLWGnL7/t4CQ7Vn4B3h81CiNfRYX8E+uaIkN/soQDbfLP6hk7Bn0 ChZLNZ2sv/tjsr0AOhvFWQ== 0001106605-01-500078.txt : 20010813 0001106605-01-500078.hdr.sgml : 20010813 ACCESSION NUMBER: 0001106605-01-500078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010731 FILED AS OF DATE: 20010810 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PANTRY INC CENTRAL INDEX KEY: 0000915862 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 561574463 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25813 FILM NUMBER: 1703291 BUSINESS ADDRESS: STREET 1: 1801 DOUGLAS DR STREET 2: PO BOX 1410 CITY: SANFORD STATE: NC ZIP: 27330 BUSINESS PHONE: 9197746700 MAIL ADDRESS: STREET 1: 1801 DOUGLAS DR STREET 2: PO BOX 1410 CITY: SANFORD STATE: NC ZIP: 27330 COMPANY DATA: COMPANY CONFORMED NAME: JP MORGAN PARTNERS 23A SBIC LLC CENTRAL INDEX KEY: 0001106535 STANDARD INDUSTRIAL CLASSIFICATION: TEXTILE MILL PRODUCTS [2200] OWNER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: J.P. MORGAN PARTNERS STREET 2: 1221 AVENUE OF THE AMERICAS 40TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 BUSINESS PHONE: 2128993400 MAIL ADDRESS: STREET 1: J.P. MORGAN PARTNERS STREET 2: 1221 AVENUE OF THE AMERICAS 40TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 FORMER COMPANY: FORMER CONFORMED NAME: CB CAPITAL INVESTORS LLC DATE OF NAME CHANGE: 20000211 4 1 pantry23asbicform4_073101.txt FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 [_] Check box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ________________________________________________________________________________ 1. Name and Address of Reporting Person* J.P. Morgan Partners (23A SBIC), LLC - -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o J.P. Morgan Partners, LLC 1221 Avenue of the Americas-40th Floor - -------------------------------------------------------------------------------- (Street) New York New York 10020 - -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Pantry, Inc. ("PTRY") ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Year July 2001 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [_] Director [X] 10% Owner [_] Officer (give title below) [_] Other (specify below) ________________________________________________________________________________ 7. Individual or Joint/Group Filing (Check applicable line) [_] Form filed by one Reporting Person [X] Form filed by more than one Reporting Person ________________________________________________________________________________ ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 7/23/01 S 10,000 D $9.299 1,941,014 D (FN 1) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 7/30/01 S 16,000 D $9.349 1,941,014 D (FN 1) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock N/A N/A N/A N/A N/A 268,413 I (FN 2) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) (Form 4-07/99) FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - --------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) The amount shown in each of the first two rows of Table I represents the beneficial ownership of the Issuer's equity securities by J. P. Morgan Partners (23A SBIC), LLC ("JPM 23A SBIC"). (2) The amount shown in the third row of Table I represents the beneficial ownership of the Issuer's securities by Baseball Partners, which may be deemed attributable to JPM 23A SBIC because Baseball Partners and JPM 23A SBIC are parties to a Stockholders Agreement containing provisions regarding the voting, acquisition, and disposition of such securities, including Baseball Partners' grant to JPMP Master Fund Manager, L.P., the sole non-managing member of JPM 23A SBIC, of a proxy to vote such securities and restrictions on Baseball Partners' ability to transfer such securities. JPM 23A SBIC disclaims any beneficial ownership interest in the securities owned by Baseball Partners that may be attributable to JPM 23A SBIC as a result of such provisions. J.P. Morgan Partners (23A SBIC), LLC By: J.P. Morgan Partners (23A SBIC Manager), Inc. /s/ Jeffrey C. Walker 8/10/01 By: --------------------------------------------- ----------------------- Jeffrey C. Walker Date President ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure.
NAME AND ADDRESS OF DESIGNATED STATEMENT ISSUER NAME, TICKER REPORTING PERSON REPORTER (Note 1) FOR OR TRADING SYMBOL (Note 1) MONTH/YEAR - ------------------------------------------------------------------------------------------------------------------------------------ J.P. Morgan Partners J.P. Morgan Partners July 2001 Pantry, Inc. (PTRY") (23A SBIC Manager), Inc (23A SBIC), LLC c/o J.P. Morgan Partners, LLC 1221 Avenue of the Americas 40th Floor New York, NY 10020 - ------------------------------------------------------------------------------------------------------------------------------------ The Chase Manhattan Bank J.P. Morgan Partners July 2001 Pantry, Inc. (PTRY") 270 Park Avenue (23A SBIC), LLC 35th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------------ J.P. Morgan Chase & Co. J.P. Morgan Partners July 2001 Pantry, Inc. (PTRY") c/o J.P. Morgan Partners, LLC (23A SBIC), LLC 270 Park Avenue 35th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------------ JPMP Capital Corporation J.P. Morgan Partners July 2001 Pantry, Inc. (PTRY") c/o J.P. Morgan Partners, LLC (23A SBIC), LLC 1221 Avenue of the Americas 40th Floor New York, NY 10020 - ------------------------------------------------------------------------------------------------------------------------------------ JPMP Master Fund Manager, L.P. J.P. Morgan Partners July 2001 Pantry, Inc. (PTRY") c/o J.P. Morgan Partners, LLC (23A SBIC), LLC 1221 Avenue of the Americas 40th Floor New York, NY 10020 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ NAME AND ADDRESS OF TITLE AND AMOUNTS OWNERSHIP FORM: NATURE OF INDIRECT DISCLAIMS REPORTING PERSON OF SECURITY DIRECT (D) OR BENEFICIAL OWNERSHIP PECUNIARY (Note 1) INDIRECT (I) INTEREST - ---------------------------------------------------------------------------------------------------------------- J.P. Morgan Partners Common Stock I See Explanatory No (23A SBIC Manager), Inc 1,941,014 Note 2 below c/o J.P. Morgan Partners, LLC 1221 Avenue of the Americas 40th Floor New York, NY 10020 - ---------------------------------------------------------------------------------------------------------------------------------- The Chase Manhattan Bank Common Stock I See Explanatory No 270 Park Avenue-35th Floor 1,941,014 Note 3 below New York, NY 10017 - ---------------------------------------------------------------------------------------------------------------------- J.P. Morgan Chase & Co. Common Stock I See Explanatory No 270 Park Avenue 1,941,014 Note 4 below 35th Floor New York, NY 10017 - ---------------------------------------------------------------------------------------------------------------------- JPMP Capital Corporation Common Stock I See Explanatory No c/o J.P. Morgan Partners, LLC 1,941,014 Note 5 below 1221 Avenue of the Americas 40th Floor New York, NY 10020 - ---------------------------------------------------------------------------------------------------------------------- JPMP Master Fund Manager, L.P. Common Stock I See Explanatory No c/o J.P. Morgan Partners, LLC 1,941,014 Note 6 below 1221 Avenue of the Americas 40th Floor New York, NY 10020 - ------------------------------------------------------------------------------------------------------------------------------------
Explanatory Notes: 1) The Designated Reporter is executing this report on behalf of all Reporting Persons, each of whom has authorized it to do so. Each of such Persons disclaims beneficial ownership of the securities to the extent it exceeds such Person's pecuniary interest therein. 2) The amounts shown in Table I represent the beneficial ownership of the Issuer's equity securities by J.P. Morgan Partners (23A SBIC), LLC ("23A SBIC") a portion of which may be deemed attributable to the Reporting Person because the Reporting Person is the managing member of 23A SBIC. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the Reporting Person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within 23A SBIC. 3) The amounts shown in Table I represent the beneficial ownership of the Issuer's equity securities by 23A SBIC, a portion of which may be deemed attributable to the Reporting Person because it is the sole stockholder of J.P. Morgan Partners (23A SBIC Manager), Inc. ("SBIC Manager"), the managing member of 23A SBIC. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the Reporting Person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within 23A SBIC. 4) The amounts shown in Table I represent the beneficial ownership of the Issuer's equity securities by 23A SBIC, a portion of which may be deemed attributable to the Reporting Person because it is the sole stockholder of (a) The Chase Manhattan Bank, which is the sole stockholder of SBIC Manager, and (b) JPMP Capital Corporation, which is the general partner of JPMP Master Fund Manager, L.P., the non-managing member of 23A SBIC. The actual pro rata portion of such beneficial ownership that may be attributable to the Reporting Person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within 23A SBIC and its non-managing member. 5) The amounts shown in Table I represent the beneficial ownership of the Issuer's equity securities by 23A SBIC, a portion of which may be deemed attributable to the Reporting Person because it is the sole general partner of the non-managing member of 23A SBIC. The actual pro rata portion of such beneficial ownership that may be attributable to the Reporting Person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within 23A SBIC and its non-managing member. 6) The amounts shown in Table I represent the beneficial ownership of the Issuer's equity securities by 23A SBIC, a portion of which may be deemed attributable to the Reporting Person because it is the non-managing member of 23A SBIC. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the Reporting Person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within 23A SBIC. -----END PRIVACY-ENHANCED MESSAGE-----