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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 | |
Siegel Thomas C/O COINMACH CORPORATION 303 SUNNYSIDE BLVD., SUITE 70 PLAINVIEW, NY 11803 |
See Remarks |
/s/ Thomas Siegel | 02/24/2006 | |
**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) | Of the 23,374,450 shares of Class B common stock reported in Table 1, (A) Mr. Siegel beneficially owns 671 shares of Class B common stock, all of which were redeemed by the Company on February 24, 2006 and (B) Coinmach Holdings, LLC ("Holdings") beneficially owns 23,373,779, all of which beneficial ownership Mr. Siegel disclaims, except to the extent of any pecuniary interest therein. Mr. Siegel owns less than 1% of the outstanding Common Units and less than 1% of the outstanding Class C Preferred Units of Holdings. |
Remarks: Mr. Siegel is the Vice President, Finance of Coinmach Corp. Mr. Siegel is also the Treasurer, Secretary & Chief Financial Officer of American Laundry Franchising Corp. |