Major Shareholding Notification • Feb 10, 2010
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Download Source FileSC 13G/A 1 dsc13ga.htm SCHEDULE 13G AMENDMENT NO.4 Schedule 13G Amendment No.4
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 4)*
Birks & Mayors Inc.
(Name of issuer)
Class A Voting Shares
(Title of class of securities)
090881103
(CUSIP number)
December 31, 2009
(Date of event which requires filing of this statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ Rule 13d-1(b)
¨ Rule 13d-1(c)
x Rule 13d-1(d)
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 090881103 13G Page 2 of 5 Pages
| 1 | Names of reporting person THOMAS A.
ANDRUSKEVICH | |
| --- | --- | --- |
| 2 | Check the appropriate box if a
member of a group (a) ¨ (b) ¨ | |
| 3 | SEC use only | |
| 4 | Citizenship or place of
organization UNITED
STATES | |
| Number of shares beneficially owned by each reporting person with | 5 | Sole voting power 898,197 |
| | 6 | Shared voting power 0 |
| | 7 | Sole dispositive power 898,197 |
| | 8 | Shared dispositive power 0 |
| 9 | Aggregate amount beneficially
owned by each reporting person 898,197 | |
| 10 | Check if the aggregate amount in
Row (9) excludes certain shares ¨ | |
| 11 | Percent of class represented by
amount in Row 9 19.83% | |
| 12 | Type of reporting
person IN | |
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| Item 1. | (a) | Name of Issuer : | |
|---|---|---|---|
| Birks & Mayors Inc. | |||
| Item 1 | (b) | Address of Issuers Principal Executive Offices: | |
| 1240 Phillips Square, Montreal, Quebec, H3B 3H4 Canada | |||
| Item 2. | (a) | Name of Person Filing : | |
| This statement is being filed by Thomas A. Andruskevich (the Reporting Person), an individual. | |||
| Item 2 | (b) | Address of Principal Business Office, or, If None, Residence : | |
| The business address of the Reporting Person is Birks & Mayors Inc., 1240 Phillips Square, Montreal, Quebec, H3B 3H4 Canada. | |||
| Item 2 | (c) | Citizenship : | |
| The Reporting Person is a citizen of the United States of America. | |||
| Item 2 | (d) | Title of Class of Securities : | |
| Class A Voting Shares | |||
| Item 2 | (e) | CUSIP Number : | |
| 090881103 | |||
| Item 3. | If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a : | ||
| (a) | ¨ | Broker or Dealer registered under Section 15 of the Act (15 U.S.C. 78o); | |
| (b) | ¨ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); | |
| (c) | ¨ | Insurance Company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); | |
| (d) | ¨ | An Investment Company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); | |
| (e) | ¨ | An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); | |
| (f) | ¨ | An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); | |
| (g) | ¨ | A parent holding company or control person, in accordance with §240.13d-1(b)(1)(ii)(G); | |
| (h) | ¨ | A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | |
| (i) | ¨ | A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. | |
| 80a-3); | |||
| (j) | ¨ | Group, in accordance with §240.13d-1(b)(1)(ii)(J). |
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| Item 4. | Ownership . |
|---|---|
| Based on the most recent information available, the aggregate number and percentage of the Class A Voting Shares (the | |
| Shares) of Birks & Mayors Inc. (Birks) that are beneficially owned by the Reporting Person is set forth in boxes 9 and 11 of the second part of the cover page to this Schedule 13G, and such information is incorporated | |
| herein by reference. The Shares beneficially owned by the Reporting Person represent (i) 40,466 Shares, (ii) options to purchase 726,522 Shares and (iii) warrants to purchase 131,209 Shares. The number of Shares as to which the Reporting Person has sole voting power, shared | |
| voting power, sole dispositive power and shared dispositive power is set forth in boxes 5, 6, 7 and 8, respectively, on the second part of the cover page to this Schedule 13G, and such information is incorporated herein by reference. Neither the filing of this Schedule 13G nor the information contained herein shall be | |
| deemed to constitute an affirmation by Mr. Andruskevich that he is the beneficial owner of the Shares referred to herein for purposes of Section 13(d) or 13(g) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such | |
| beneficial ownership is expressly disclaimed. | |
| Item 5. | Ownership of Five Percent or Less of a Class . |
| Not applicable | |
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person . |
| Not applicable | |
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company . |
| Not applicable | |
| Item 8. | Identification and Classification of Members of the Group . |
| Not applicable | |
| Item 9. | Notice of Dissolution of Group . |
| Not applicable | |
| Item 10. | Certifications . |
| Not applicable |
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SIGNATURE
After reasonable inquiry and to the best of the undersigneds knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.
| Dated: February 10, 2010 |
|---|
| /s/ Thomas A. Andruskevich |
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