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Royal Ahold – ‘3’ for 4/24/00 re: Peapod Inc.

As of:  Monday, 4/24/00   ·   For:  4/24/00   ·   Accession #:  950127-0-214   ·   File #:  0-22557   ·   Correction:  This Filing’s Metadata was Corrected ® by the SEC on 5/8/00.

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/24/00  Royal Ahold                       3®         10% Owner   1:9K   Peapod Inc.                       White & Case LLP/FA

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Initial State/Beneficial Ownership of Securities       5     15K 

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------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response ....... 0.5 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 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 ================================================================================ 1. Name and Address of Reporting Person* Koninklijke Ahold N.V. -------------------------------------------------------------------------------- (Last, First, Middle) Albert Heijnweg 1 -------------------------------------------------------------------------------- (Street) 1507 EH Zaandam, The Netherlands -------------------------------------------------------------------------------- (City, State, Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) April 14, 2000 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker or Trading Symbol Peapod, Inc. (PPOD) ================================================================================ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ X ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) -------------------------------------------------------------------- ================================================================================ 6. If Amendment, Date of Original (Month/Day/Year) ================================================================================ 7. Individual or Joint/Group Filing (Check applicable line) [ X ] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person * If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).
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================================================================================ Table I -- Non-Derivative Securities Beneficially Owned ================================================================================ [Enlarge/Download Table] 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.5) ------------------------------------------------------------------------------------------------------------------------------------ (1) ------------------------------------------------------------------------------------------------------------------------------------ ==================================================================================================================================== Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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[Enlarge/Download Table] ================================================================================ Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) -------------------------------------------------------------------------------- 3. Title and Amount of Securities Underlying Derivative Security 2. Date Exercisable (Instr. 4) and Expiration Date --------------------------------- (Month/Day/Year) Amount ---------------------- or Date Expira- Number 1. Title of Derivative Exer- tion of Security (Instr. 4) cisable Date Title Shares ------------------------- ------------------------------------------------------------------------------- (1) Common Stock Purchase Warrants Immed. April 9, 2010 Common Stock 100,000 ------------------------------------------------------------------------------------------------------------------ (2) Common Stock Purchase Warrants Immed. April 13, 2010 Common Stock 3,566,667 ------------------------------------------------------------------------------------------------------------------
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-------------------------------------------------------------------------------- Table II (cont.) -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) -------------------------------------------------------------------------------- 5. Owner- ship Form of Derivative 4. Conver- Security: sion or Direct 6. Nature of Exercise (D) or Indirect Price of Indirect Beneficial 1. Title of Derivative Derivative (I) Ownership Security (Instr. 4) Security (Instr.5) (Instr. 5) -------------------------------------------------------------------------------------------------------- (1) Common Stock Purchase Warrants $3.00 D -------------------------------------------------------------------------------------------------------- (2) Common Stock Purchase Warrants $3.00 D -------------------------------------------------------------------------------------------------------- ========================================================================================================
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Explanation of Responses: In addition, pursuant to and subject to the terms and conditions set forth in the Purchase Agreement dated as of April 14, 2000 between the Reporting Person and the Issuer (including approval by the stockholders of the Issuer), the Reporting Person has agreed to acquire (i) 726,371 shares of Series B Convertible Preferred Stock (the "Shares") of the Issuer which would be convertible into initially 19,369,873 shares of common stock of the Issuer (the "Common Stock") at a conversion price of $3.75, and (ii) warrants (the "Warrant (Preferred Stock)") to purchase initially 32,894,270 shares of Common Stock at an exercise price of $3.75. Prior to the occurrence of the purchase of the Shares and the Warrant (Preferred Stock), the Reporting Person expressly disclaims beneficial ownership of the Shares, the Warrant (Preferred Stock) and the shares of Common Stock which are purchasable by the Reporting Person upon conversion of the Shares and exercise of the Warrants (Preferred Stock). /s/ A.P.H.M. van Tielraden April 24, 2000 --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. SEC 1473 (7-96)

Dates Referenced Herein   and   Documents Incorporated by Reference

Referenced-On Page
This ‘3’ Filing    Date First  Last      Other Filings
4/13/103
4/9/103
Changed on / Corrected on:5/8/00
Filed on / For Period end:4/24/005SC 13D
4/14/0015
9/30/98110-Q
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Filing Submission 0000950127-00-000214   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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