As filed with the Securities and Exchange Commission on August 15, 2005.
Registration No. 333-
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-8
REGISTRATION STATEMENT UNDER
THE SECURITIES ACT OF 1933
WESTERN SIZZLIN CORPORATION
(Exact Name of Registrant as Specified in its Charter)
DELAWARE |
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86-0723400 |
(State or
Other Jurisdiction of Incorporation or |
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(I.R.S. Employer Identification Number) |
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1338 Plantation Road, P.O. Box 12167, Roanoke, Virginia |
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24023 |
(Address of Principal Executive Offices) |
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(ZIP Code) |
2005 WESTERN SIZZLIN STOCK OPTION PLAN (1)
(Full Title of the Plan)
MICHAEL C. PALLESEN
CLINE, WILLIAMS, WRIGHT, JOHNSON & OLDFATHER, L.L.P.
1125 SOUTH 103rd STREET, SUITE 320
OMAHA, NEBRASKA 68124-1090
402-397-1700
402-397-1806
(Name and Address of Agent for Service)
(1) Western Sizzlin Corporation (the Company) has reserved and is registering 500,000 shares of Common Stock for issuance pursuant to the 2005 Western Sizzlin Stock Option Plan.
CALCULATION OF REGISTRATION FEE
Title Of |
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Amount To Be |
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Proposed Maximum |
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Proposed |
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Amount Of |
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Common Stock |
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500,000 |
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$ |
.86 |
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$ |
430,000 |
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$ |
50.61 |
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(1) In addition, pursuant to Rule 416(c) under the Securities Act of 1933, this registration statement also covers an indeterminate amount of interests to be offered or sold pursuant to the employee benefit plan described herein.
PART I
INFORMATION REQUIRED IN THE SECTION 10(a) PROSPECTUS
The documents containing the information specified in Part I of Form S-8 will be delivered to employees, officers and directors in accordance with Form S-8 and Rule 428(b)(1) under the Securities Act of 1933.
PART II
INFORMATION REQUIRED IN THE REGISTRATION STATEMENT
Item 3. Incorporation of Documents by Reference.
The Company hereby incorporates by reference in this registration statement the following documents previously filed with the Securities and Exchange Commission (the Commission):
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All documents subsequently filed by the Company pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Exchange Act, prior to the filing of a post-effective amendment which indicates that all securities offered hereby have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference in this registration statement and to be a part hereof from the date of the filing of such documents.
Item 4. Description of Securities.
Not applicable.
Item 5. Interests of Named Experts and Counsel.
Not applicable.
Item 6. Indemnification of Directors and Officers.
The provision regarding indemnification of directors and officers is found in the Bylaws of the Company which are incorporated by reference to Exhibit 3.2 to the Form 10-Q for the quarter ended June 30, 2002.
Item 7. Exemption from Registration Claimed.
Not applicable.
Item 8. Exhibits.
Please see the Exhibit Index on page 9.
Item 9. Undertakings.
(a) The undersigned registrant hereby undertakes:
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Provided, however, that paragraphs (a) (1) (i) and (a) (1) (ii) do not apply if the registration statement is on Form S-3, Form S-8 or Form F-3, and the information required to be included in a post-effective amendment by those paragraphs is contained in periodic reports filed with or furnished to the Commission by the registrant pursuant to Section 13 or Section 15(d) of the Securities Exchange Act of 1934 that are incorporated by reference in the registration statement.
(2) That, for purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
(3) To remove from registration by means of a post-effective amendment any of the securities being registered which are made unsold at the termination of the offering.
(b) The undersigned registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the registrants annual report pursuant to Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 (and, where applicable, each filing of an employee benefit plans annual report pursuant to Section 15(d) of the Exchange Act of 1934) that is incorporated by reference in the registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
(h) Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against
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such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
SIGNATURES
The Registrant. Pursuant to the requirements of the Securities Act of 1933, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Roanoke, Commonwealth of Virginia, on August 15, 2005.
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WESTERN SIZZLIN CORPORATION |
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By: |
/s/ James C. Verney |
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James C. Verney, President, |
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Chief Executive Officer |
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By: |
/s/ Robyn B. Mabe |
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Robyn B. Mabe, Vice President, Chief |
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Financial Officer, Secretary, Treasurer |
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Pursuant to the requirements of the Securities Act of 1933, this registration statement has been signed by the following persons in the capacities and on the dates indicated.
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/s/ Paul C. Schorr, III |
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Paul C. Schorr, III |
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Director and |
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August 15, 2005 |
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/s/ A. Jones Yorke |
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A. Jones Yorke |
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Director |
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August 15, 2005 |
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Signature |
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/s/ Jesse Harrington |
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Jesse Harrington |
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Director |
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August 15, 2005 |
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/s/ Thomas Hontzas |
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Thomas Hontzas |
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Director |
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August 15, 2005 |
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/s/ Stan Bozeman, Jr. |
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Stan Bozeman, Jr. |
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Director |
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August 15, 2005 |
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/s/ Alan Cowart |
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Alan Cowart |
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Director |
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August 15, 2005 |
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/s/ Titus Greene |
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Titus Greene |
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Director |
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August 15, 2005 |
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/s/ Pat Vezertzis |
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Pat Vezertzis |
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Director |
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August 15, 2005 |
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/s/ Roger D. Sack |
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Roger D. Sack |
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Director |
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August 15, 2005 |
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The Plan. Pursuant to the requirements of the Securities Act of 1933, the following persons, in their capacities as the Plan Committee, have duly caused the registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Roanoke, Commonwealth of Virginia, on August 15, 2005.
Signature |
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Date |
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/s/ Paul C. Schorr, III |
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Paul C. Schorr, III |
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Director and |
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August 15, 2005 |
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/s/ A. Jones Yorke |
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A. Jones Yorke |
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Director |
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August 15, 2005 |
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/s/ Jesse Harrington |
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Jesse Harrington |
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Director |
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August 15, 2005 |
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/s/ Thomas Hontzas |
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Thomas Hontzas |
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Director |
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August 15, 2005 |
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/s/ Stan Bozeman, Jr. |
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Stan Bozeman, Jr. |
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Director |
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August 15, 2005 |
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/s/ Alan Cowart |
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Alan Cowart |
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Director |
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August 15, 2005 |
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/s/ Titus Greene |
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Titus Greene |
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Director |
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August 15, 2005 |
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Signature |
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Title |
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Date |
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/s/ Pat Vezertzis |
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Pat Vezertzis |
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Director |
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August 15, 2005 |
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/s/ Roger D. Sack |
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Roger D. Sack |
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Director |
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August 15, 2005 |
8
EXHIBIT INDEX
Exhibit |
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Exhibit |
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4.0 |
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Captec Promissory Notes and related loan documents (incorporated by reference to Exhibit 4.0 to the Form 10-Q for the quarter ended June 30, 2002). |
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4.1 |
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Restated Certificate of Incorporation dated January 24, 1996 (incorporated by reference to Exhibit 3.1 to the Form 10-Q for the quarter ended September 30, 2002). |
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4.1.2 |
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Certificate of Amendment to Certificate of Incorporation dated October 23, 2003 (incorporated by reference to Exhibit 3.1.2 to the Form 8-K filed October 6, 2003). |
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4.1.3 |
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Amendment to Certificate of Incorporation dated June 30, 1999 (incorporated by reference to Exhibit 3.1.3 to the Form 10-K for the year ended December 31, 2003). |
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4.2 |
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Restated Bylaws of the Company (incorporated by reference to Exhibit 3.2 to the Form 10-Q for the quarter ended June 30, 2002). |
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5.1 |
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Opinion of Counsel (filed herewith). |
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23.1 |
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Consent of KPMG LLP (filed herewith). |
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23.2 |
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Consent of Grant Thornton LLP (filed herewith). Consent of Counsel (included in Exhibit 5.1). |
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99.1 |
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2005 Western Sizzlin Stock Option Plan (filed herewith). |
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