UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. ___)*
Sparta Foods, Inc.
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(Name of Issuer)
Common Stock, $.01 par value
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(Title of Class of Securities)
846573 30 1
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(CUSIP Number)
Michael J. Kozlak
5049 Green Farms Road
Edina, Minnesota 55436
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(Name, Address and Telephone Number of Person Authorized
to Receive Notices and Communications)
October 20, 1995
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(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ].
Check the following box if a fee is being paid with the statement [x]. (A fee is
not required only if the reporting person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
Note: Six copies of this statement, including all exhibits, should be filed with
the Commission. See Rule 13d-1(a) for other parties to whom copies are to be
sent.
*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
disclosures provided in a prior cover page.
The information required on 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>
SCHEDULE 13D
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CUSIP No. 846573 30 1 Page 2 of 4 Pages
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1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Michael J. Kozlak
###-##-####
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [ ]
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3 SEC USE ONLY
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4 SOURCE OF FUNDS*
PF
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5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) or 2(e)
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6 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.
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NUMBER OF 7 SOLE VOTING POWER
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
None
----------------------------------------------------
8 SHARED VOTING POWER
253,000 (such shares are obtainable
upon exercise of options and warrants
and conversion of a note)
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9 SOLE DISPOSITIVE POWER
None
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10 SHARED DISPOSITIVE POWER
253,000 (such shares are obtainable
upon exercise of options and warrants
and conversion of a note)
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11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
253,000 (such shares are obtainable upon exercise of options and
warrants and conversion of a note)
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12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES* [ ]
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13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
5.9%
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14 TYPE OF REPORTING PERSON*
IN
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<PAGE>
Item 1. Security and Issuer.
This statement relates to Common Stock, $.01 par value, of Sparta Foods,
Inc., 2570 Kasota Avenue, St. Paul, Minnesota 55108.
Item 2. Identity and Background.
(a) The person filing this statement is Michael J. Kozlak.
(b) Mr. Kozlak's residence address is 5049 Green Farms Road,
Edina, Minnesota 55436.
(c) Mr. Kozlak is Executive Vice President of PNC Mortgage
Corporation of America, 440 North Fairway Drive - 2W, Vernon
Hills, Illinois 60061.
(d) Mr. Kozlak has never been convicted in a criminal
proceeding.
(e) Mr. Kozlak has not been a party to any civil proceeding as a
result of which he was or is subject to a judgment, decree
or final order enjoining future violations of, or
prohibiting or mandating activities subject to, federal or
state securities laws or finding any violation with respect
to such laws.
(f) Mr. Kozlak is a citizen of the United States of America.
Item 3. Source and Amount of Funds or Other Consideration.
On October 20, 1995, the Issuer issued to Mr. Kozlak a warrant to purchase
50,000 shares of Common Stock in consideration of a $50,000 loan. Mr. Kozlak's
loan of $50,000 was provided from his personal funds.
Item 4. Purpose of Transaction.
Mr. Kozlak's purpose in making the foregoing loan of $50,000 was to provide
necessary interim financing to the Issuer pending completion of a private
placement which the Company was conducting. Mr. Kozlak accepted warrants to
purchase 50,000 shares of the Issuer's Common Stock as partial consideration for
the loan.
Item 5. Interest in Securities of the Issuer.
(a) Mr. Kozlak beneficially owns 253,000 shares of the Issuer's
Common Stock, representing approximately 5.9% of the
Issuer's Common Stock. Of such shares, 3,000 are obtainable
upon exercise of a director stock option (subject to
shareholder approval of such option), 50,000 shares are
obtainable upon exercise of a presently exercisable warrant,
100,000 shares are obtainable upon conversion of a
convertible note, and 100,000 shares will be obtainable upon
exercise of a warrant which will be issued upon conversion
of the convertible note.
<PAGE>
(b) Mr. Kozlak shares voting and dispositive power over all of
such securities with his spouse.
(c) On October 20, 1995, in partial consideration of a $50,000
loan to the Issuer, Mr. Kozlak received a warrant to
purchase 50,000 shares of the Issuer's Common Stock. The
warrant is exercisable at a price of $.50 per share until
October 19, 1998, the warrant's expiration date. Mr.
Kozlak's loan to the Issuer is evidenced by a Promissory
Note which is convertible into 100,000 Units, each Unit
consisting of one share of Common Stock and a Warrant to
purchase one share of Common Stock at $.75 per share.
Item 6. Contracts, Arrangements, Understandings or Relationships With
Respect to Securities of the Issuer.
None.
Item 7. Material to be Filed as Exhibits.
None.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
Dated: January 20th, 1996.
/s/ Michael J. Kozlak
Michael J. Kozlak
