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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
CB Capital Investors, LLC ("CBCI, LLC") (FN 1)
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(Last) (First) (Middle)
c/o Chase Capital Partners
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(Street)
380 Madison Avenue, 12th Floor
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(City) (State) (Zip)
New York, New York 10017
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2. Date of Event Requiring Statement (Month/Day/Year)
1/1/2000
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3. IRS Identification Number of Reporting Person, if an entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
The Pantry, Inc. ("PTRY")
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
|_| Director |X| 10% Owner
|_| Officer (give title below) |_| Other (specify below)
________________________________________
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6. If Amendment, Date of Original (Month/Day/Year)
06/08/99
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7. Individual or Joint/Group Filing (Check applicable line)
|_| Form filed by One Reporting Person
|X| Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Beneficially Owned
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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<S> <C> <C>
Common Stock 956,322 D
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the Form is filed by more than one Reporting Person see instruction
5(b)(v).
Page 1 of 7
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FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
Explanation of Responses:
(1) Pursuant to an internal reorganization effective as of January 1, 2000,
Chase Manhattan Capital, LLC ("CMC, LLC") became the successor to Chase
Manhattan Capital, LP ("CMC, LP"), (ii) Chase Manhattan Capital Corporation
("CMCC") became the managing member of CMC, LLC and (iii) Chase Capital Partners
("CCP") became the manager, by delegation, of CMC, LLC pursuant to a master
advisory agreement with CMCC. The internal reorganization changed CMC, LP's name
and form of organization but did not alter the proportionate interests of its
ultimate security holders.
CB Capital Investors, LLC
** Signature of Reporting Person
By: Chase Capital Partners, as Manager
By: /s/
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Title:
------------- of Chase Capital Partners 2/ /2000
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Date
Page 2 of 7
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<TABLE>
<CAPTION>
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Title of
Derivative
Date of Title and Securities and Ownership Nature of Disclaims
Name and Address Designated Event Issuer Name, Amount of Title and Form: Indirect Pecuniary
of Reporting Reporter1 Requiring Ticker Security Amount of Direct (D) or Beneficial Interest
Person Statement or Trading Symbol Securities Indirect (I) Ownership
Underlying
Derivative
Securities
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
John R. Baron CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Mitchell J. Blutt CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Chris C. Behrens CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Arnold L. Chavkin CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Eric Green CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY 100
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Michael R. Hannon CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Donald J. Hofmann CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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</TABLE>
Page 3 of 7
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<TABLE>
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Stephen P. Murray CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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John M.B. CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
O'Connor Investors, 2000 ("PTRY") 956,322 Note 2 below
C/o Chase LLC
Capital Partners
380 Madison
Avenue 12th Floor
New York, NY
10017
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Susan L. Segal CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Capital Investors, 2000 ("PTRY") 956,322 Note 2 below
Partners LLC
380 Madison
Avenue
12th Floor
New York, NY
10017
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Shahan D. CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
Soghikian Investors, 2000 ("PTRY") 956,322 Note 2 below
c/o Chase LLC
Capital
Partners
50 California
Street, Suite
2940
San Francisco,
CA 94111
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Jeffrey C. Walker CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Timothy J. Walsh CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue
12th Floor
New York, NY
10017
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Richard D. Waters CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Damion E. Wicker CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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</TABLE>
Page 4 of 7
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<TABLE>
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
CCP European CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
Principals, LLC Investors, 2000 ("PTRY") 956,322 Note 2 below
c/o Chase LLC
Capital Partners
380 Madison
Avenue 12th Floor
New York, NY
10017
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CCP Principals, CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
LLC c/o Chase Investors, 2000 ("PTRY") 956,322 Note 2 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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Chase Capital CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
Corporation Investors, 2000 ("PTRY") 956,322 Note 2 below
(f/k/a Chemical LLC
Capital
Corporation)
c/o Chase
Capital Partners
380 Madison
Avenue 12th Floor
New York, NY
10017
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The Chase CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
Manhattan Investors, 2000 ("PTRY") 956,322 Note 3 below
Corporation LLC
270 Park Avenue
35th Floor
New York, NY
10017
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Chase Capital CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
Partners Investors, 2000 ("PTRY") 956,322 Note 4 below
380 Madison LLC
Avenue 12th Floor
New York, NY
10017
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The Chase CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
Manhattan Bank Investors, 2000 ("PTRY") 956,322 Note 5 below
380 Madison LLC
Avenue 12th Floor
New York, NY
10017
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David L. Ferguson CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 6 below
Capital Partners LLC
380 Madison
Avenue
12th Floor
New York, NY
10017
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I. Robert Greene CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Flatiron Investors, 2000 ("PTRY") 956,322 Note 7 below
Partners LLC
257 Park Avenue
South 12th Floor
New York, NY
10010
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</TABLE>
Page 5 of 7
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<TABLE>
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Brian J. Richmand CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 8 below
Capital Partners LLC
380 Madison
Avenue
12th Floor
New York, NY
10017
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Jonas Steinmann CB Capital January 1, The Pantry, Inc. Common Stock N/A I See Explanatory No
c/o Chase Investors, 2000 ("PTRY") 956,322 Note 9 below
Capital Partners LLC
380 Madison
Avenue 12th Floor
New York, NY
10017
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</TABLE>
Explanatory Note:
1) The Designated Reporter is executing this report on behalf of all reporting
persons, each of whom has authorized it to do so.
2) The amount shown in Table I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because the reporting person is a partner
of Chase Capital Partners ("CCP"), which is the manager, by delegation, of CMC,
LLC, pursuant to an advisory agreement with Chase Manhattan Capital Corporation.
The actual pro rata portion of such beneficial ownership that may be deemed to
be attributable to the reporting person is not readily determinable because it
is subject to several variables, including the internal rate of return and
vesting of interests within CCP and CMC, LLC.
3) The amount shown in Table I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because it is the sole stockholder of Chase
Capital Corporation, a general partner of CCP, the manager, by delegation, of
CMC, LLC. The actual pro rata portion of such beneficial ownership that may be
attributable to the reporting person is not readily determinable because it is
subject to several variables, including the internal rate of return and vesting
of interests within CCP and CMC, LLC.
4) The amount shown in Table I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because it is the manager, by delegation,
of CMC, LLC pursuant to an advisory agreement with Chase Manhattan Capital
Corporation. The actual pro rata portion of such beneficial ownership that may
be deemed to be attributable to the reporting person is not readily determinable
because it is subject to several variables, including the internal rate of
return and vesting of interests within CCP and CVCA, LLC.
5) The amount shown in Tables I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because it is the sole stockholder of the
managing member of CBCI, LLC.
6) The amount shown in Tables I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because he was a general partner of CCP,
the manager, by delegation, of CMC, LLC, until May 31, 1999. The actual pro rata
portion of such beneficial ownership that may be deemed to be attributable to
the reporting person is not readily determinable because it is subject to
several variables, including the internal rate of return and vesting within CCP
and CMC, LLC.
7) The amount shown in Tables I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because he was a general partner of CCP,
the manager, by delegation, of CMC, LLC, until December 31, 1999. The actual pro
rata portion of such beneficial ownership that may be deemed to be attributable
to the reporting person is not readily determinable because it is subject to
several variables, including the internal rate of return and vesting within CCP
and CMC, LLC.
Page 6 of 7
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8) The amount shown in Tables I represent the beneficial ownership of the
Issuer's equity securities by CMC, LLC, a portion of which may be deemed
attributable to the reporting person because he was a general partner of CCP,
the manager, by delegation, of CMC, LLC, until July 1, 1999. The actual pro rata
portion of such beneficial ownership that may be deemed to be attributable to
the reporting person is not readily determinable because it is subject to
several variables, including the internal rate of return and vesting within CCP
and CMC, LLC.
9) The amount shown in Tables I represent the beneficial ownership of the
Issuer's equity securities by CBCI, LLC, a portion of which may be deemed
attributable to the reporting person because he was a general partner of CCP,
the non-managing member of CBCI, LLC and the manager, by delegation, of CBCI,
LLC, until July 1, 1999. The actual pro rata portion of such beneficial
ownership that may be deemed to be attributable to the reporting person is not
readily determinable because it is subject to several variables, including the
internal rate of return and vesting within CCP and CBCI, LLC.
Page 7 of 7
