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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Kerrigan Stephen 1017 EAST MOREHEAD ST., SUITE 100 CHARLOTTE, NC 28204 |
X | Board Chairman, President, CEO |
/s/ Stephen R. Kerrigan | 11/21/2007 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Acquisition from Coinmach Holdings, LLC ("Coinmach Holdings") pursuant to its in-kind distribution to its members of all shares of Coinmach Service Corp.'s class B common stock held by it pursuant to that certain Voting Agreement, dated as of June 14, 2007 (the "Voting Agreement"), by and among Spin Holdco Inc. ("Parent"), Coinmach Holdings, GTCR-CLC, LLC, Stephen R. Kerrigan, Robert M. Doyle, Ramon Norniella, Michael E. Stanky and James N. Chapman. |
(2) | Disposition in exchange for shares of Parent's common stock pursuant to the Voting Agreement and that certain Exchange Agreement (the "Exchange Agreement"), dated as of June 14, 2007, by and among Parent, Stephen R. Kerrigan, Robert M. Doyle, Ramon Norniella, Michael E. Stanky, James N. Chapman, Coinmach Laundry Corporation ("CLC") and the Secretary of CLC. |
(3) | Disposition pursuant to the terms of the Voting Agreement and the Exchange Agreement in exchange for $13.55 per share in cash. |