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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No._____)*
Blue Rhino Corporation
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, par value $.001 per share
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(Title of Class of Securities)
095811105
------------------------------
(CUSIP Number)
December 31, 1998
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(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 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).
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CUSIP No. 095811105
------------------------
- ------------------------------------------------------------------------------
NAMES OF REPORTING PERSONS.
1 I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY).
Andrew J. Filipowski
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
2 (a) [_]
(b) [_]
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SEC USE ONLY
3
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CITIZENSHIP OR PLACE OF ORGANIZATION
4
U.S.
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SOLE VOTING POWER
5
NUMBER OF 1,097,218 (a)
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6 764,651 (b)
OWNED BY
-----------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7 1,097,218 (a)
REPORTING
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8 764,651 (b)
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
1,861,869 (a)(b)
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
10
[_]
- ------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
11
24.2%
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12 TYPE OF REPORTING PERSON
IN
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(a) Includes 18,903 shares issuable upon the exercise of vested options
held by Mr. Filipowski, 36,546 shares issuable upon the exercise of vested
warrants held by Mr. Filipowski and 1,890 shares beneficially owned by Mr.
Filipowski as trustee on behalf of the Andrew E. Filipowski Trust.
(b) Includes 216,127 shares owned by American Oil and Gas, Inc., of which
Mr. Filipowski owns 40% of the issued and outstanding shares, 206,955
shares owned by Platinum Propane Holding, L.L.C., of which Mr. Filipowski
serves as a director and indirectly owns 16% of the membership interests,
328,338 shares owned by Platinum Venture Partners I, L.P., the general
partner of which is Platinum Venture Partners, Inc., a corporation of which
Mr. Filipowski owns 22.5% of the shares and serves as a director, 1,890
shares beneficially owned by Jennifer R. Filipowski, 1,890 shares
beneficially owned by Veronica Filipowski, the spouse of Mr. Filipowski, as
trustee on behalf of the Alexandria Filipowski Trust, 1,890 shares
beneficially owned by Veronica Filipowski as trustee on behalf of the James
Meadows Trust and 7,561 shares beneficially owned by Veronica Filipowski.
<PAGE>
Item 1. (a) Name of Issuer: Blue Rhino Corporation
(b) Address of Issuer's Principal Executive Offices:
104 Cambridge Plaza Drive
Winston-Salem, North Carolina 27104
Item 2. (a) Name of Person Filing: Andrew J. Filipowski
(b) Address of Principal Business Office:
1815 South Meyers Road
Oakbrook Terrace, Illinois 60181
(c) Citizenship: U.S.
(d) Title of Class of Securities: Common Stock, par value
$.001 per share
(e) CUSIP Number: 095811105
Item 3. If this statement is filed pursuant to Sections 240.13d-1(b) or
240.13d-2(b) or (c), check whether the person filing is a:
Not applicable.
Item 4. Ownership.
(a) Amount beneficially owned: 1,861,869 (a)(b)
(b) Percent of class: 24.2%
(c) Number of shares as to which person has:
(i) Sole power to vote or to direct the vote: 1,097,218 (a)
(ii) Shared power to vote or to direct the vote: 764,651 (b)
(iii) Sole power to dispose or to direct the disposition of
1,097,218 (a)
(iv) Shared power to dispose or to direct the disposition of:
764,651 (b)
(a) Includes 18,903 shares issuable upon the exercise of
vested options held by Mr. Filipowski, 36,546 shares
issuable upon the exercise of vested warrants held by
Mr. Filipowski and 1,890 shares beneficially owned by
Mr. Filipowski as trustee on behalf of the Andrew E.
Filipowski Trust.
<PAGE>
(b) Includes 216,127 shares owned by American Oil and Gas,
Inc., of which Mr. Filipowski owns 40% of the issued
and outstanding shares, 206,955 shares owned by
Platinum Propane Holding, L.L.C., of which Mr.
Filipowski serves as a director and indirectly owns
16% of the membership interests, 328,338 shares owned
by Platinum Venture Partners I, L.P., the general
partner of which is Platinum Venture Partners, Inc., a
corporation of which Mr. Filipowski owns 22.5% of the
shares and serves as a director, 1,890 shares
beneficially owned by Jennifer R. Filipowski, 1,890
shares beneficially owned by Veronica Filipowski, the
spouse of Mr. Filipowski, as trustee on behalf of the
Alexandria Filipowski Trust, 1,890 shares beneficially
owned by Veronica Filipowski as trustee on behalf of
the James Meadows Trust and 7,561 shares beneficially
owned by Veronica Filipowski.
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. Certification.
Not applicable.
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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.
February 12, 1999
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Date
/s/ Andrew J. Filipowski
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Signature
Andrew J. Filipowski
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Name/Title
