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- -------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION -----------------------------
FORM 3 WASHINGTON, D.C. 20549 OMB APPROVAL
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number: 3235-0104
Expires: September 30, 1998
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Estimated average burden
Section 17(a) of the Public Utility Holding Company Act of 1935 or hours per response .... 0.5
(Print or Type Responses) Section 30(f) of the Investment Company Act of 1940 -----------------------------
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1. Name and Address of Reporting Person* 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol
quiring Statement
Jitney-Jungle Stores of America, Inc. (Month/Day/Year) Delchamps, Inc. (NASDAQ:DLCH)
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(Last) (First) (Middle) 09/12/97 5. Relationship of Reporting Person(s) 6. If Amendment, Date
----------------------- to Issuer (Check all applicable) of Original
3. IRS or Social Se- Director X 10% Owner (Month/Day/Year)
curity Number of ---- ----
1770 Ellis Avenue; Suite 200 Reporting Person Officer (give Other (specify ---------------------
- ------------------------------------------------- (Voluntary) title below) below) 7. Individual or
(Street) ---- ---- Joint/Group Filing
64-0280539 (Check Applicable
----------------------- Line)
--------------------------- Form filed by One
Reporting Person
---
Form filed by
More than One
X Reporting Person
Jackson MS 39204 ---
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(City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
*See Attachment A
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
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Common Stock 5,317,510 Shares I By Delta Acquisition
Corporation, a wholly-owned
subsidiary of Jitney-Jungle
Stores of America, Inc.
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, SEE Instruction 5(b)(v). SEC 1473 (7-96)
(Print or Type Responses)
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FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
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1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) cisable and Underlying Derivative Security sion or ship Beneficial
Expiration (Instr. 4) Exercise Form of Ownership
Date Price of Deriv- (Instr. 5)
(Month/Day/ Deri- ative
Year) vative Security:
-------------------------------------------------- Security Direct
Amount (D) or
Date Expir- or Indirect
Exer- ation Title Number (I)
cisable Date of
Shares (Instr. 5)
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Explanation of Responses:
/s/ Michael E. Julian 9/22/97
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Michael E. Julian Date
Jitney-Jungle Stores of America, Inc.
President and Chief
Executive Officer
/s/ Bruce C. Bruckmann 9/22/97
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Bruce C. Bruckmann Date
Bruckmann, Rosser, Sherrill & Co., Inc.
Managing Director
**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 provided is insufficient,
SEE Instruction 6 for procedure.
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Attachment A
Form 3
Designated Filer Date of Event Requiring Statement Issuer Name and Ticker or Trading Symbol
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(Month/Day/Year)
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Jitney-Jungle Stores of America, Inc. 09/12/97 Delchamps, Inc. (NASDAQ:DLCH)
Additional Reporting Person(1)
Bruckmann, Rosser, Sherrill & Co., Inc.
126 E. 56th Street - 29th Floor
New York, NY 10022
EIN# 13-3807402
(1) By virtue of its majority common stock ownership of Jitney-Jungle Stores of America, Inc. ("Jitney-Jungle"), Bruckmann,
Rosser, Sherrill & Co., Inc. ("BRS") may be deemed to beneficially own the shares of common stock of Delchamps, Inc.
beneficially owned by Jitney-Jungle. However, the filing of this Form 3 by BRS shall not be deemed an admission that BRS is
a beneficial owner of such shares of Delchamps, Inc.
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