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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. ___________) *
MOD PAC CORP.
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(Name of Issuer)
Common Stock, par value $.01
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(Title of Class of Securities)
607495207
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(CUSIP Number)
December 31, 2004
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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)
|X| Rule 13d-1(c)
|_| 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).
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 control number.
SEC 1745 (3-98) Page 1 of 7 pages
CUSIP No. 607495207
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1. Names of Reporting Persons. John H. Lewis
I.R.S. Identification Nos. of above persons (entities only).
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2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a) |_|
(b) |X|
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3. SEC Use Only
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4. Citizenship or Place of Organization United States
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Number of 5. Sole Voting Power 195,359
Shares Bene- ---------------------------------------------------------------
ficially owned 6. Shared Voting Power
by Each ---------------------------------------------------------------
Reporting 7. Sole Dispositive Power 195,359
Person With: ---------------------------------------------------------------
8. Shared Dispositive Power
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9. Aggregate Amount Beneficially Owned by Each Reporting Person 195,359
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions) |_|
11. Percent of Class Represented by Amount in Row (9) 6.52%
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12. Type of Reporting Person (See Instructions) IN
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Page 2 of 7 pages
CUSIP No. 607495207
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1. Names of Reporting Persons. Osmium Partners, LLC
I.R.S. Identification Nos. of above persons (entities only).
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2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a) |_|
(b) |X|
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3. SEC Use Only
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4. Citizenship or Place of Organization United States
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Number of 5. Sole Voting Power 195,359
Shares Bene- ---------------------------------------------------------------
ficially owned 6. Shared Voting Power 0
by Each ---------------------------------------------------------------
Reporting 7. Sole Dispositive Power 195,359
Person With: ---------------------------------------------------------------
8. Shared Dispositive Power 0
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9. Aggregate Amount Beneficially Owned by Each Reporting Person 195,359
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions) |_|
11. Percent of Class Represented by Amount in Row (9) 6.52%
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12. Type of Reporting Person (See Instructions) OO
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Page 3 of 7 pages
CUSIP No. 607495207
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1. Names of Reporting Persons. Osmium Capital, LP
I.R.S. Identification Nos. of above persons (entities only).
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2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a) |_|
(b) |X|
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3. SEC Use Only
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4. Citizenship or Place of Organization Delaware
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Number of 5. Sole Voting Power 193,186
Shares Bene- ---------------------------------------------------------------
ficially owned 6. Shared Voting Power 0
by Each ---------------------------------------------------------------
Reporting 7. Sole Dispositive Power 193,186
Person With: ---------------------------------------------------------------
8. Shared Dispositive Power 0
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9. Aggregate Amount Beneficially Owned by Each Reporting Person 193,186
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions) |_|
11. Percent of Class Represented by Amount in Row (9) 6.45%
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12. Type of Reporting Person (See Instructions) PN
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Page 4 of 7 pages
Item 1.
(a) The name of the issuer is Mod Pac Corp. (the "Issuer").
(b) The principal executive office of the Issuer is located at 1801 Elmwood
Avenue, Buffalo, New York 14207.
Item 2.
(a) The names of the person filing this statement (the "Statement") is John H.
Lewis. Mr. Lewis is the controlling member of Osmium Partners, LLC, a
Delaware limited liability company ("Osmium Partners") which serves as the
general partner of Osmium Capital, LP, a Delaware limited partnership (the
"Fund") (collectively, the "Filers").
(b) The Principal Business Office of the Filers is 388 Market Street, Suite
920, San Francisco, California 94111.
(c) For citizenship information see item 4 of the cover sheet of each Filer.
(d) This Statement relates to the Common Stock of the Issuer.
(e) The CUSIP Number of the common stock of the Issuer is 607495207.
Item 3. If this statement is filed pursuant to ss. 240.13d-1(b), or 240.13d-2(b
or (c), check whether the person filing is a:
(a) Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
(b) Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
(c) Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C.
78c).
(d) Investment company registered under section 8 of the Investment Company Act
of 1940 (15 U.S.C. 80a-8).
(e) An investment adviser in accordance with ss. 240.13d-1(b)(1)(ii)(E);
(f) An employee benefit plan or endowment fund in accordance with
ss. 240.13d-1(b)(1)(ii)(F);
(g) A parent holding company or control person in accordance with
ss. 240.13d-1(b)(1)(ii)(G);
(h) A savings associations as defined in Section 3(b) of the Federal Deposit
Insurance Act (12 U.S.C. 1813);
(i) A church plan that is excluded from the definition of an investment company
under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C.
80a-3);
(j) Group, in accordance with ss. 240.13d-1(b)(1)(ii)(J);
Item 4. Ownership.
See Items 5-9 and 11 on the cover page for each filer.
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Instruction. For computations regarding securities which represent a right to
acquire an underlying security see ss. 240.13d-3(d)(1).
Page 5 of 7 pages
Item 5. Ownership of Five Percent or Less of a Class
If this statement is being filed to report the fact that as of the date hereof
the reporting person has ceased to be the beneficial owner of more than five
percent of the class of securities, check the following |_|.
Instruction: Dissolution of a group requires a response to this item.
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
If any other person is known to have the right to receive or the power to direct
the receipt of dividends from, or the proceeds from the sale of, such
securities, a statement to that effect should be included in response to this
item and, if such interest relates to more than five percent of the class, such
person should be identified. A listing of the shareholders of an investment
company registered under the Investment Company Act of 1940 or the beneficiaries
of employee benefit plan, pension fund or endowment fund is not required.
Item 7. Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on By the Parent Holding Company.
If a parent holding company or control person has filed this schedule, pursuant
to Rule 13d-1(b)(ii)(G), so indicate under Item 3(g) and attach an exhibit
stating the identity and the Item 3 classification of the relevant subsidiary.
If a parent holding company or control person has filed this schedule pursuant
to Rule 13d-1(c) or Rule 13d-1(d), attach an exhibit stating the identification
of the relevant subsidiary.
John H. Lewis is a manager and member of Osmium Partners. Osmium Partners is the
general partner and control person of the Fund and manages other accounts on a
discretionary basis. The Fund is a private investment vehicle formed for the
purpose of investing and trading in a wide variety of securities and financial
instruments. The Fund and individual account holders directly own the common
shares reported in this Statement. |_| EXHIBIT ATTACHED
Item 8. Identification and Classification of Members of the Group
If a group has filed this schedule pursuant to Rule 13d-1(b)(1)(ii)(J), so
indicate under Item 3(j) and attach an exhibit stating the identity and Item 3
classification of each member of the group. If a group has filed this schedule
pursuant to Rule 13d-1(c) or Rule 13d-1(d), attach an exhibit stating the
identity of each member of the group.
Item 9. Notice of Dissolution of Group
Notice of dissolution of a group may be furnished as an exhibit stating the date
of the dissolution and that all further filings with respect to transactions in
the security reported on will be filed, if required, by members of the group, in
their individual capacity. See Item 5. |_| EXHIBIT ATTACHED
Item 10. Certification
(a) The following certification shall be included if the statement filed
pursuant to ss. 240.13d-1(b):
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer
of the securities and were not acquired and are not held in connection with
or as a participant in any transaction having that purpose or effect.
The following certification shall be included if the statement filed
pursuant to ss. 240.13d-1(c):
(b) By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were not acquired and are not held for the
purpose of or with the effect of changing or influencing the control of the
issuer of the securities and were not acquired and are not held in
connection with or as a participant in any transaction having that purpose
or effect.
Page 6 of 7 pages
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: February 9, 2005
Osmium Capital, LP
By: Osmium Partners, LLC,
General Partner
By: /s/ John H. Lewis
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John H. Lewis,
Managing Member
OSMIUM PARTNERS, LLC
By: /s/ John H. Lewis
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John H. Lewis,
Managing Member
/s/ John H. Lewis
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John H. Lewis
The original statement shall be signed by each person on whose behalf the
statement is filed or his authorized representative. If the statement is signed
on behalf of a person by his authorized representative other than an executive
officer or general partner of the filing person, evidence of the
representative's authority to sign on behalf of such person shall be filed with
the statement, provided, however, that a power of attorney for this purpose
which is already on file with the Commission may be incorporated by reference.
The name and any title of each person who signs the statement shall be typed or
printed beneath his signature.
Note: Schedules filed in paper format shall include a signed original and five
copies of the schedule, including all exhibits. See ss. 240.13d-7 for other
parties for whom copies are to be sent.
Attention: Intentional misstatements or omissions of fact constitute
Federal criminal violations (See 18 U.S.C. 1001)
Page 7 of 7 pages