-----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, BjO3bISZ46ZmCV7ahZE631hLG5yHBdGwPyD8agU+pGBScx1MwYtD1XUvmimyu/YD rB0RwnQoYr3MopwbmhHI/w== 0001084961-00-000004.txt : 20000211 0001084961-00-000004.hdr.sgml : 20000211 ACCESSION NUMBER: 0001084961-00-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000131 FILED AS OF DATE: 20000210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MCM CAPITAL GROUP INC CENTRAL INDEX KEY: 0001084961 STANDARD INDUSTRIAL CLASSIFICATION: SHORT-TERM BUSINESS CREDIT INSTITUTIONS [6153] IRS NUMBER: 481090909 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-26489 FILM NUMBER: 531610 BUSINESS ADDRESS: STREET 1: 500 WEST FIRST STREET BOX 576 CITY: HUTCHINSON STATE: KS ZIP: 67501 BUSINESS PHONE: 8007590327 MAIL ADDRESS: STREET 1: 500 W FIRST STREET BOX 576 CITY: HUTCHINSON STATE: KS ZIP: 67501 FORMER COMPANY: FORMER CONFORMED NAME: MIDLAND CORP OF KANSAS DATE OF NAME CHANGE: 19990423 COMPANY DATA: COMPANY CONFORMED NAME: NELSON PELTZ CENTRAL INDEX KEY: 0000928265 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 900 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2122303000 MAIL ADDRESS: STREET 1: 900 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 FORM 4 - JANUARY 31, 2000 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Peltz, Nelson c/o Triarc Companies, Inc. 280 Park Avenue New York, NY 10017 USA 2. Issuer Name and Ticker or Trading Symbol MCM Capital Group, Inc. MCMC 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year January 31, 2000 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 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 Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock, $.01, par val| | | | | | |603,787(1) |(I)(3)|(1) | ue | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock, $.01, par val| | | | | | |581,310(2) |(I)(3)|(2) | ue | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Common Stock Warrants |$.01 |1/12/|(A) | |100,000 |A |Immed|1/12/|Common Stock|100,000|(4) |100,000(3) |(I)| | (right to buy) | |00 | | | | |. |05 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) All such shares are held by a wholly-owned subsidiary of Triarc Companies, Inc. ("Triarc"). Mr. Peltz is an officer, director and significant stockholder of Triarc. (2) All such shares are held in the Nelson Peltz Children's Trust (the "Trust"), an entity in which Mr. Peltz is a trustee. (3) The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. (4) Warrants to purchase up to 100,000 shares of MCM Capital Group, Inc. were granted to Triarc in January 2000 in consideration of Triarc providing a guaranty of certain indebtedness of MCM Capital Group, Inc. SIGNATURE OF REPORTING PERSON Nelson Peltz DATE February 10, 2000 -----END PRIVACY-ENHANCED MESSAGE-----