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GOLD JEFF 4

Accession 0001140361-12-002511

CIK 0001011290other

Filed

Jan 12, 7:00 PM ET

Accepted

Jan 13, 4:41 PM ET

Size

9.2 KB

Accession

0001140361-12-002511

Insider Transaction Report

Form 4
Period: 2012-01-13
GOLD JEFF
DirectorPresident, COO10% Owner
Transactions
  • Disposition to Issuer

    Common Stock

    2012-01-13$22.00/sh6,865,973$151,051,4060 total(indirect: See footnote)
  • Disposition to Issuer

    Common Stock

    2012-01-13909,0901,456,386 total
  • Disposition to Issuer

    Common Stock

    2012-01-13$22.00/sh1,456,386$32,040,4920 total
Footnotes (4)
  • [F1]Disposed of in connection with the Agreement and Plan of Merger, dated as of October 11, 2011, by and among 99 Cents Only Stores (the "Company"), Number Holdings, Inc., a Delaware corporation ("Parent"), and Number Merger Sub, Inc., a California corporation and a wholly owned subsidiary of Parent ("Merger Sub").
  • [F2]As a result of the merger of Merger Sub with and into the Company (the "Merger"), each share of the Company's common stock, no par value (the "Company common stock"), was converted into the right to receive $22.00 in cash, without interest and less any applicable withholding taxes.
  • [F3]Beneficially owned through Au Zone Investments #2, L.P., a limited partnership in which the reporting person has a limited partnership interest and an interest in the partnership's general partner.
  • [F4]In connection with the Merger, the reporting person contributed 909,090 shares of Company common stock, valued at $22.00 per share, to Parent prior to the consummation of the Merger in accordance with the terms of that certain equity rollover letter, dated October 11, 2011, by and among Parent, the reporting person and certain other rollover investors. In exchange for the 909,090 shares of Company common stock, the reporting person received shares of capital stock representing approximately 3.2% of the aggregate common stock of Parent as of the closing.

Documents

1 file

Issuer

99 CENTS ONLY STORES

CIK 0001011290

Entity typeother

Related Parties

1
  • filerCIK 0001168764

Filing Metadata

Form type
4
Filed
Jan 12, 7:00 PM ET
Accepted
Jan 13, 4:41 PM ET
Size
9.2 KB