SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
C/O UNIFIRST CORPORATION |
68 JONSPIN ROAD |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
UNIFIRST CORP
[ UNF ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
X |
10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
Chief Exec Officer; Treasurer |
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3. Date of Earliest Transaction
(Month/Day/Year) 08/05/2005
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Class B Common Stock |
08/05/2005 |
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C |
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100,000 |
D |
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2,483,750 |
D
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Common Stock |
08/05/2005 |
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C |
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100,000 |
A |
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109,961 |
D
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Common Stock |
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2,740 |
I
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By 401(k) |
Common Stock |
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33,500 |
D
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Class B Common Stock |
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1,499,852 |
D
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Common Stock |
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191,034 |
I
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By Trusts and LLC |
Class B Common Stock |
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2,648,000 |
I
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By Trusts and LLC |
Common Stock |
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950 |
I
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By Trusts and LLC |
Class B Common Stock |
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2,600,000 |
I
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By Trusts |
Common Stock |
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20,705 |
I
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By Estate and Trust |
Class B Common Stock |
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2,841,644 |
I
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By Estate and Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
1. Name and Address of Reporting Person*
C/O UNIFIRST CORPORATION |
68 JONSPIN ROAD |
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
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Croatti Management Associates, Inc., by power of attorney |
08/10/2005 |
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** Signature of Reporting Person |
Date |
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
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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
Addendum to Form 4
of The Croatti Family Limited Partnership, August 10, 2005
Explanation of Responses:
(1) |
The reporting person converted shares of Class B Common Stock into Common Stock on a
one-for-one basis pursuant to the terms of the underlying securities; accordingly, there is no
applicable purchase or sale price. For purpose of reference, the closing price of UNF Common
Stock on August 5, 2005 was $43.50. |
(2) |
These shares were owned directly by The Croatti Family Limited Partnership, a
ten percent owner of the issuer, and indirectly by each of Croatti Management
Associates, Inc. (CMA), Marie Croatti, Ronald Croatti and Cynthia Croatti.
Croatti Management Associates, Inc. is the general partner of The Croatti Family
Limited Partnership. Each of Marie Croatti, Ronald Croatti and Cynthia Croatti
are also officers, directors and shareholders of CMA. Ronald Croatti and Cynthia
Croatti are each an officer and director of UniFirst Corporation. Cynthia
Croatti is also a trustee to and beneficiary of two trusts which hold
approximately 25% of the limited partnership interests in The Croatti Family
Limited Partnership. Ronald Croatti is also a trustee to and a beneficiary of
two trusts which hold approximately 25% of the limited partnership interests in
The Croatti Family Limited Partnership. Marie Croatti is a trustee to all of the
trusts holding 100% of the limited partnership interests in The Croatti Family
Limited Partnership. Each of the reporting persons disclaims beneficial
ownership of these reported securities, except to the extent of his, her or its
pecuniary interest therein, and this report shall not be deemed an admission
that such reporting person is the beneficial owner of these securities for
purposes of Section 16 or any other purpose. |
(3) |
Represents 2,740 shares of Common Stock beneficially owned by Cynthia Croatti. |
(4) |
Represents 2,000, 0 and 31,500 shares of Common Stock held directly by Marie
Croatti, Ronald Croatti and Cynthia Croatti, respectively. |
(5) |
Represents 940,172, 472,560 and 87,120 shares of Class B Common Stock held
directly by Marie Croatti, Ronald Croatti and Cynthia Croatti, respectively. |
(6) |
Represents shares required to be reported by Cynthia Croatti. Cynthia Croatti is
a trustee of the Marie Croatti QTIP Trust which is the direct owner of 2,600,000
shares of Class B Common Stock, is the manager of a limited liability company,
Trilogy Investment Partners LLC, and a trustee for the following trusts, that,
as of the date of filing this report, combined directly own the remainder of the
reported securities: The Samuel E. Brown Gallo Trust 1989, The Nicholas
C. Brown Gallo Trust 1989, the Monica Levenstein Gallo Trust 1989
and the Lisa Levenstein Gallo Trust 1989. Cynthia Croatti disclaims
beneficial ownership of these reported securities, except to the extent of her
pecuniary interest therein, and this report shall not be deemed an admission
that she is the beneficial owner of the securities for purposes of Section 16 or
any other purpose. |
(7) |
Represents shares required to be reported by Ronald Croatti. Ronald Croatti is a
trustee of The Marie Croatti QTIP Trust which is the direct owner of 2,600,000
shares of Class B Common Stock, is the manager of a limited liability company,
MMC Trust LLC. Ronald Croatti disclaims beneficial ownership of these reported
securities, except to the extent of his pecuniary interest therein, and this
report shall not be deemed an admission that he is the beneficial owner of these
securities for purposes of Section 16 or any other purpose. |
(8) |
Represents shares required to be reported by Marie Croatti. Marie Croatti is a
trustee of the following trusts that directly own 1,600 shares of Common Stock
and 217,584 shares of Class B Common Stock: The Melissa Marie Croatti Gallo
Trust-1990; The Matthew C. Croatti Gallo Trust-1989 and The Matthew Croatti
Trust-1985. In addition, Marie Croatti is the executrix of the estate of her
deceased husband, which is the direct owner of 19,105 shares of Common Stock and
2,624,060 shares of Class B Common Stock. Marie Croatti disclaims beneficial
ownership of such securities, except to the extent of her pecuniary interest
therein, and this report shall not be deemed an admission that she is the
beneficial owner of these securities for purposes of Section 16 or any other
purpose. |