SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13D-1(b) AND (c)
AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13D-2(b)
(Amendment No. ______________)*
OUTSOURCE INTERNATIONAL, INC.
-----------------------------
(Name of Issuer)
Common Stock, par value $.001
-----------------------------
(Title of Class of Securities)
690131 10 7
-----------
(CUSIP Number)
* The remainder of this cover page shall be filled out for a reporting
person's initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which would
alter the disclosures provided in a prior cover page.
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).
<PAGE>
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<CAPTION>
CUSIP No. 690131 10 7 13G Page 2 of 27 Pages
<S> <C>
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Paul M. Burrell and Richard J. Williams, as Trustees of
the OutSource International, Inc. Voting Trust
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF 4,175,593
SHARES
BENEFICIALLY ----- ----------------------------------------------------------------------------------
OWNED BY 6 Shared Voting Power
EACH
REPORTING None
PERSON ----- ----------------------------------------------------------------------------------
WITH 7 Sole Dispositive Power
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
4,175,593
- -------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
4,175,593
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
48.2%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 3 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Lawrence H. Schubert, as Trustee of
The Lawrence H. Schubert Revocable Trust;
as Trustee of the Nadya I. Schubert GRAT-1997;
as Trustee of the Adam Pugh Trust Agreement; and
as Trustee of the Rachel Schubert Trust Agreement
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES
BENEFICIALLY ----- ----------------------------------------------------------------------------------
OWNED BY 6 Shared Voting Power
EACH
REPORTING None
PERSON ----- ----------------------------------------------------------------------------------
WITH 7 Sole Dispositive Power
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
506,632
-------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
506,632
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
5.9%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 4 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Nadya I. Schubert as Trustee of
the Nadya I. Schubert Revocable Trust
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
376,632
- -------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
376,632
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
4.4%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
<S> <C>
CUSIP No. 690131 10 7 13G Page 5 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Alan E. Schubert, Individually;
as Co-Trustee of the Matthew Schubert OutSource Trust; and
as Co-Trustee of the Jason Schubert OutSource Trust
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
1,850,443
- -------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
1,850,443
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
21.4%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN; OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 6 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Matthew B. Schubert, Individually, and as
Co-Trustee of the Jason Schubert OutSource Trust
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
381,004
- -------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
381,004
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
4.4%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN; OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 7 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Jason Schubert, as
Co-Trustee of the Matthew Schubert OutSource Trust
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
200,002
-------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
200,002
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
2.3%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 8 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Louis A. Morelli, Individually; as Trustee of
The Louis J. Morelli S Stock Trust; and as Trustee
of the Margaret Ann Janisch S Stock Trust
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
616,675
- -------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
616,675
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
7.1%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN; OO
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 9 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Louis J. Morelli
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
212,002
-------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
212,002
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
2.5%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 10 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Margaret Morelli Janisch
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
271,448
-------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
271,448
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
3.1%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
<S> <C>
CUSIP No. 690131 10 7 13G Page 11 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Raymond S. Morelli
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
270,076
- -------------- -----------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
270,076
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
3.1%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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CUSIP No. 690131 10 7 13G Page 12 of 27 Pages
- -------------- -----------------------------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only)
Mindi Wagner
- -------------- -----------------------------------------------------------------------------------------------------
2 Check the Appropriate Box if a Member of a Group (a) X
(See Instructions) (b)
- -------------- -----------------------------------------------------------------------------------------------------
3 SEC Use Only
- -------------- -----------------------------------------------------------------------------------------------------
4 Citizenship or Place of Organization
USA
- --------------------------- ----- ----------------------------------------------------------------------------------
5 Sole Voting Power
NUMBER OF None
SHARES ----- ----------------------------------------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY
EACH None
REPORTING ----- ----------------------------------------------------------------------------------
PERSON 7 Sole Dispositive Power
WITH
None
----- ----------------------------------------------------------------------------------
8 Shared Dispositive Power
43,259
- --------------------------------------------------------------------------------------------------------------------
9 Aggregate Amount Beneficially Owned by Each Reporting Person
43,259
- -------------- -----------------------------------------------------------------------------------------------------
10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
- -------------- -----------------------------------------------------------------------------------------------------
11 Percent of Class Represented by Amount in Row (9)
0.1%
- -------------- -----------------------------------------------------------------------------------------------------
12 Type of Reporting Person (See Instructions)
IN
- -------------- -----------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>
Page 13 of 27 Pages
Item 1.
(a) Name of Issuer:
OutSource International, Inc.
(b) Address of Issuer's Principal Executive Offices:
1144 East Newport Center Drive
Deerfield Beach, FL 33442
Item 2.
(a) Name of Persons Filing:
Paul M. Burrell and Richard J. Williams, as Trustees
of the OutSource International, Inc. Voting Trust
Lawrence H. Schubert, as Trustee of the Lawrence H.
Schubert Revocable Trust; as Trustee of the Nadya I.
Schubert GRAT-1997; as Trustee of the Adam Pugh Trust
Agreement; and as Trustee of the Rachel Schubert
Trust Agreement
Nadya I. Schubert, as Trustee of the Nadya I.
Schubert Revocable Trust
Alan E. Schubert, Individually; as Co-Trustee of the
Matthew Schubert OutSource Trust; and as Co-Trustee
of the Jason Schubert OutSource Trust
Matthew B. Schubert, Individually, and as Co-Trustee
of the Jason Schubert OutSource Trust
Jason Schubert, as Co-Trustee of the Matthew Schubert
Outsource Trust
Louis A. Morelli, Individually;
as Trustee of the Louis J. Morelli S Stock Trust; and
as Trustee of the Margaret Ann Janisch S Stock Trust
Louis J. Morelli
Margaret Morelli Janisch
Raymond S. Morelli
Mindi Wagner
(b) Address of Principal Business Office or if None, Residence:
1144 East Newport Center Drive
Deerfield Beach, FL 33442
(c) Citizenship:
USA
(d) Title of Class of Securities:
Common Stock, par value $.001
(e) Cusip Number:
690131 10 7
<PAGE>
Page 14 of 27 Pages
Item 3.
N/A
Item 4. Ownership
A.(a) Amount Beneficially Owned by Paul M. Burrell and
Richard J. Williams as Trustees of the
OutSource International, Inc. Voting Trust: 4,175,593
4,175,593 shares of Common Stock beneficially owned by the
Reporting Persons listed in Items 4(B) - 4(K) were deposited with
Richard J. Williams and Paul M. Burrell, the Voting Trustees, under a
Voting Trust Agreement dated as of February 21, 1997 ("VTA") and an
Agreement Among Shareholders and Investors dated as of February 21,
1997 ("AASI").
(b) Percent of Class: 48.2%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
4,175,593
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 4,175,593
B.(a) Amount Beneficially Owned by Lawrence H. Schubert
as Trustee of the Lawrence H. Schubert Revocable Trust;
as Trustee of the Nadya I. Schubert GRAT-1997;
as Trustee of the Adam Pugh Trust Agreement; and
as Trustee of the Rachel Schubert Trust Agreement: 506,632
Represents: (1) 409,132 shares held of record; (2) 32,500
shares held of record by the Nadya I. Schubert GRAT-1997; (3) 32,500
shares held of record by the Adam Pugh Trust Agreement; and (4) 32,500
shares held of record by the Rachel Schubert Trust Agreement.
(b) Percent of Class: 5.9%
<PAGE>
Page 15 of 27 Pages
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 506,632
C.(a) Amount Beneficially Owned by Nadya I. Schubert, as Trustee
of the Nadya I. Schubert Revocable Trust: 376,632
Represents 376,632 shares held of record.
(b) Percent of Class: 4.4%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 376,632
D.(a) Amount Beneficially Owned by Alan E. Schubert, Individually;
as Co-Trustee of the Matthew Schubert OutSource Trust; and
as Co-Trustee of the Jason Schubert OutSource Trust: 1,850,443
Represents: (1) 1,327,438 shares held of record held by
Alan E. Schubert, individually; (2) 200,002 shares held of record held
by Alan E. Schubert, as Co-Trustee of the Matthew Schubert OutSource
Trust; and (3) 323,003 shares held of record held by Alan E. Schubert,
as Co-Trustee of the Jason Schubert OutSource Trust.
(b) Percent of Class: 21.4%
<PAGE>
Page 16 of 27 Pages
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 1,850,443
E.(a) Amount Beneficially Owned by Matthew B. Schubert,
Individually, and as Co-Trustee of the Jason Schubert
OutSource Trust: 381,004
Represents: (1) 56,156 shares held of record and warrants
to purchase 1,845 shares held by Matthew B. Schubert, individually; and
(2) 323,003 shares held of record held by Matthew B. Schubert, as
Co-Trustee of the Jason Schubert OutSource Trust.
(b) Percent of Class: 4.4%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 381,004
F.(a) Amount Beneficially Owned by Jason Schubert,
as Co-Trustee of the Matthew B. Schubert OutSource Trust:
200,002
Represents: 200,002 shares held of record held by Jason
Schubert, as Co-Trustee of the Matthew B. Schubert OutSource Trust.
(b) Percent of Class: 2.3%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
<PAGE>
Page 17 of 27 Pages
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 200,002
G.(a) Amount Beneficially Owned by Louis A. Morelli, Individually;
as Trustee of the Louis J. Morelli S Stock Trust; and
as Trustee of the Margaret Ann Janisch S Stock Trust:
616,675
Represents: (1) 500,221 shares held of record held by
Louis A. Morelli, individually; (2) 56,230 shares held of record and
warrants to purchase 1,845 shares held by Louis A. Morelli, as Trustee
of the Louis J. Morelli S Stock Trust; and (3) 56,516 shares held of
record and warrants to purchase 1,863 shares held by Louis A. Morelli,
as Trustee of the Margaret Ann Janisch S Stock Trust.
(b) Percent of Class: 7.1%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 616,675
H.(a) Amount Beneficially Owned by Louis J. Morelli: 212,002
Represents 205,237 shares held of record and warrants to
purchase 6,765 shares.
(b) Percent of Class: 2.5%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 212,002
<PAGE>
Page 18 of 27 Pages
I.(a) Amount Beneficially Owned by Margaret Morelli Janisch:
271,448
Represents 262,801 shares held of record and warrants to
purchase 8,647 shares.
(b) Percent of Class: 3.1%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 271,448
J.(a) Amount Beneficially Owned by Raymond S. Morelli: 270,076
Represents 261,466 shares held of record and warrants to
purchase 8,610 shares.
(b) Percent of Class: 3.1%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 270,076
K.(a) Amount Beneficially Owned by Mindi Wagner: 43,259
Represents 43,259 shares held of record.
(b) Percent of Class: 0.1%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
None
(ii) Shared power to vote or to direct the vote:
None
<PAGE>
Page 19 of 28
(iii) Sole power to dispose or to direct the
disposition of: None
(iv) Shared power to dispose or to direct the
disposition of: 43,259
Item 5. Ownership of Five Percent or Less of a Class
N/A
Item 6. Ownership of More than Five Percent on Behalf
of Another Person
Pursuant to the terms of the AASI, dividends paid in stock of the
Issuer are held by the Voting Trustees and the beneficial owners of
such shares will receive a voting trust certificate representing such
stock.
Item 7. Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on by the
Parent Holding Company
N/A
Item 8. Identification and Classification of Members of the Group
Paul M. Burrell and Richard J. Williams, as Trustees
of the OutSource International, Inc. Voting Trust
Lawrence H. Schubert, as Trustee of the Lawrence H. Schubert Revocable
Trust; as Trustee of the Nadya I. Schubert GRAT-1997; as Trustee of the
Adam Pugh Trust Agreement; and as Trustee of the Rachel Schubert Trust
Agreement
Nadya I. Schubert, as Trustee of the Nadya I. Schubert Revocable Trust
Alan E. Schubert, Individually;
as Co-Trustee of the Matthew Schubert OutSource Trust; and
as Co-Trustee of the Jason Schubert OutSource Trust
Matthew B. Schubert, Individually, and as Co-Trustee of the Jason
Schubert OutSource Trust
Jason Schubert, as Co-Trustee of the Matthew Schubert Outsource Trust
Louis A. Morelli, Individually;
as Trustee of the Louis J. Morelli S Stock Trust; and
as Trustee of the Margaret Ann Janisch S Stock Trust
Louis J. Morelli
Margaret Morelli Janisch
Raymond S. Morelli
Mindi Wagner
<PAGE>
Page 20 of 27 Pages
Item 9. Notice of Dissolution of Group
N/A
Item. 10. Certification
N/A
REMAINDER OF PAGE LEFT BLANK
<PAGE>
Page 21 of 27 Pages
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief,
each of the undersigned certifies that the information set forth in this
statement is true, complete and correct.
<TABLE>
<CAPTION>
<S> <C>
Dated: February 12, 1999
OUTSOURCE INTERNATIONAL, INC.
VOTING TRUST
By: /s/ Paul M. Burrell
--------------------------------------
Paul M. Burrell, as Trustee for:
Lawrence H. Schubert as Trustee of the
Lawrence H. Schubert Revocable Trust dated
8/25/95
Lawrence H. Schubert as Trustee of the Adam
Pugh Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Rachel
Schubert Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Nadya
I. Schubert GRAT-1997 u/t/a dated 5/16/97
Nadya I. Schubert as Trustee of the Nadya I.
Schubert Revocable Trust dated 8/25/95
Alan E. Schubert
Louis A. Morelli
Raymond S. Morelli
Louis J. Morelli
Louis A. Morelli as Trustee of the Louis J.
Morelli S Stock Trust dated 1/1/95
Margaret Morelli Janisch
Louis A. Morelli as Trustee of the Margaret
Ann Janisch S Stock Trust dated 1/1/95
Matthew B. Schubert
Jason D. Schubert and Alan E. Schubert as
Trustees of the Matthew Schubert OutSource
Trust dated 11/24/95
Matthew B. Schubert and Alan E. Schubert as
Trustees of the Jason Schubert OutSource Trust
dated 11/24/95
Mindi Wagner
<PAGE>
Page 22 of 27 Pages
By: /s/ Richard J. Williams
------------------------------------------
Richard J. Williams, as Trustee for:
Lawrence H. Schubert as Trustee of the
Lawrence H. Schubert Revocable Trust dated
8/25/95
Lawrence H. Schubert as Trustee of the Adam
Pugh Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Rachel
Schubert Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Nadya
I. Schubert GRAT-1997 u/t/a dated 5/16/97
Nadya I. Schubert as Trustee of the Nadya I.
Schubert Revocable Trust dated 8/25/95
Alan E. Schubert
Louis A. Morelli
Raymond S. Morelli
Louis J. Morelli
Louis A. Morelli as Trustee of the Louis J.
Morelli S Stock Trust dated 1/1/95
Margaret Morelli Janisch
Louis A. Morelli as Trustee of the Margaret
Ann Janisch S Stock Trust dated 1/1/95
Matthew B. Schubert
Jason D. Schubert and Alan E. Schubert as
Trustees of the Matthew Schubert OutSource
Trust dated 11/24/95
Matthew B. Schubert and Alan E. Schubert as
Trustees of the Jason Schubert OutSource Trust
dated 11/24/95
Mindi Wagner
<PAGE>
Page 23 of 27 Pages
/s/ Lawrence H. Schubert
----------------------------------------------------------------
Lawrence H. Schubert, as Trustee of the Lawrence H. Schubert
Revocable Trust; as Trustee of the Nadya I. Schubert
GRAT-1997; as Trustee of the Adam Pugh Trust Agreement; and as
Trustee of the Rachel Schubert Trust Agreement
/s/ Nadya I. Schubert
----------------------------------------------------------------
Nadya I. Schubert, as Trustee of the Nadya I. Schubert
Revocable Trust
/s/ Alan E. Schubert
----------------------------------------------------------------
Alan E. Schubert, Individually; as Co-Trustee of the Matthew
Schubert OutSource Trust; and as Co-Trustee of the Jason
Schubert OutSource Trust
/s/ Matthew B. Schubert
---------------------------------------------------------------
Matthew B. Schubert, Individually, and as Co-Trustee of the
Jason Schubert OutSource Trust
/s/ Jason D. Schubert
---------------------------------------------------------------
Jason D. Schubert, as Co-Trustee of the Matthew Schubert
OutSource Trust
/s/ Louis A. Morelli
---------------------------------------------------------------
Louis A. Morelli, Individually; as Trustee of the Louis J.
Morelli S Stock Trust; and as Trustee of the Margaret Ann
Janisch S Stock Trust
/s/ Louis J. Morelli
---------------------------------------------------------------
Louis J. Morelli
/s/ Margaret Morelli Janisch
---------------------------------------------------------------
Margaret Morelli Janisch
/s/ Raymond S. Morelli
---------------------------------------------------------------
Raymond S. Morelli
/s/ Mindi Wagner
---------------------------------------------------------------
Mindi Wagner
</TABLE>
<PAGE>
Page 24 of 27 Pages
EXHIBITS
Exhibit A Joint Filing Agreement
Exhibit B Power of Attorney*
Exhibit C Voting Trust Agreement**
Exhibit D Agreement Among Shareholders and Investors**
- ----------------------
* Incorporated by reference to Schedule 13G filed by the Reporting
Persons with the Securities and Exchange Commission on February 17, 1998.
**Incorporated by reference to the Exhibits to the Registration
Statement on Form S-1 of OutSource International, Inc. (File No. 333-33443) as
filed with the Securities and Exchange Commission on August 12, 1997.
<PAGE>
Page 25 of 27 Pages
Exhibit A
Joint Filing Agreement
In accordance with Rule 13d-1(f) under the Securities Exchange Act of
1934, as amended, the persons named below agree to the joint filing on behalf of
each of them of a Schedule 13G. This Joint Filing Agreement shall be included as
an exhibit to such joint filing. In evidence thereof, each of the undersigned,
being duly authorized, hereby execute this Agreement this 12th day of February,
1999.
<TABLE>
<CAPTION>
<S> <C>
OUTSOURCE INTERNATIONAL, INC.
VOTING TRUST
By: /s/ Paul M. Burrell
--------------------------------------
Paul M. Burrell, as Trustee for:
Lawrence H. Schubert as Trustee of the
Lawrence H. Schubert Revocable Trust dated
8/25/95
Lawrence H. Schubert as Trustee of the Adam
Pugh Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Rachel
Schubert Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Nadya
I. Schubert GRAT-1997 u/t/a dated 5/16/97
Nadya I. Schubert as Trustee of the Nadya I.
Schubert Revocable Trust dated 8/25/95
Alan E. Schubert
Louis A. Morelli
Raymond S. Morelli
Louis J. Morelli
Louis A. Morelli as Trustee of the Louis J.
Morelli S Stock Trust dated 1/1/95
Margaret Morelli Janisch
Louis A. Morelli as Trustee of the Margaret
Ann Janisch S Stock Trust dated 1/1/95
Matthew B. Schubert
Jason D. Schubert and Alan E. Schubert as
Trustees of the Matthew Schubert OutSource
Trust dated 11/24/95
Matthew B. Schubert and Alan E. Schubert as
Trustees of the Jason Schubert OutSource Trust
dated 11/24/95
Mindi Wagner
<PAGE>
Page 26 of 27 Pages
By: /s/ Richard J. Williams
------------------------------------------
Richard J. Williams, as Trustee for:
Lawrence H. Schubert as Trustee of the
Lawrence H. Schubert Revocable Trust dated
8/25/95
Lawrence H. Schubert as Trustee of the Adam
Pugh Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Rachel
Schubert Trust Agreement dated 9/18/95
Lawrence H. Schubert as Trustee of the Nadya
I. Schubert GRAT-1997 u/t/a dated 5/16/97
Nadya I. Schubert as Trustee of the Nadya I.
Schubert Revocable Trust dated 8/25/95
Alan E. Schubert
Louis A. Morelli
Raymond S. Morelli
Louis J. Morelli
Louis A. Morelli as Trustee of the Louis J.
Morelli S Stock Trust dated 1/1/95
Margaret Morelli Janisch
Louis A. Morelli as Trustee of the Margaret
Ann Janisch S Stock Trust dated 1/1/95
Matthew B. Schubert
Jason D. Schubert and Alan E. Schubert as
Trustees of the Matthew Schubert OutSource
Trust dated 11/24/95
Matthew B. Schubert and Alan E. Schubert as
Trustees of the Jason Schubert OutSource Trust
dated 11/24/95
Mindi Wagner
<PAGE>
Page 27 of 27 Pages
/s/ Lawrence H. Schubert
----------------------------------------------------------------
Lawrence H. Schubert, as Trustee of the Lawrence H. Schubert
Revocable Trust; as Trustee of the Nadya I. Schubert
GRAT-1997; as Trustee of the Adam Pugh Trust Agreement; and as
Trustee of the Rachel Schubert Trust Agreement
/s/ Nadya I. Schubert
----------------------------------------------------------------
Nadya I. Schubert, as Trustee of the Nadya I. Schubert
Revocable Trust
/s/ Alan E. Schubert
----------------------------------------------------------------
Alan E. Schubert, Individually; as Co-Trustee of the Matthew
Schubert OutSource Trust; and as Co-Trustee of the Jason
Schubert OutSource Trust
/s/ Matthew B. Schubert
---------------------------------------------------------------
Matthew B. Schubert, Individually, and as Co-Trustee of the
Jason Schubert OutSource Trust
/s/ Jason D. Schubert
---------------------------------------------------------------
Jason D. Schubert, as Co-Trustee of the Matthew Schubert
OutSource Trust
/s/ Louis A. Morelli
---------------------------------------------------------------
Louis A. Morelli, Individually; as Trustee of the Louis J.
Morelli S Stock Trust; and as Trustee of the Margaret Ann
Janisch S Stock Trust
/s/ Louis J. Morelli
---------------------------------------------------------------
Louis J. Morelli
/s/ Margaret Morelli Janisch
---------------------------------------------------------------
Margaret Morelli Janisch
/s/ Raymond S. Morelli
---------------------------------------------------------------
Raymond S. Morelli
/s/ Mindi Wagner
---------------------------------------------------------------
Mindi Wagner
</TABLE>
