SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
PERLMUTTER HARRIET

(Last) (First) (Middle)
10 GARDEN COURT

(Street)
SHORT HILLS, NJ 07078

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SUPERVALU INC [ SVU ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/26/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/26/2004 M 6,000 A $15.5625 19,779 D
Common Stock 05/26/2004 F 3,039 D $30.73 16,740 D
Common Stock 05/26/2004 M 6,000 A $22.25 22,740 D
Common Stock 05/26/2004 F 4,345 D $30.73 18,395 D
Common Stock 05/26/2004 M 2,000 A $25.6875 20,395 D
Common Stock 05/26/2004 F 1,672 D $30.73 18,723 D
Common Stock 05/26/2004 M 6,000 A $19 24,723 D
Common Stock 05/26/2004 F 3,710 D $30.73 21,013 D
Common Stock 05/26/2004 M 1,930 A $16.125 22,943 D
Common Stock 05/26/2004 F 1,013 D $30.73 21,930 D
Common Stock 12,783.199 I by Directors Trust
Common Stock 3,000 I by Trust 2
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (right to buy) $15.5625 05/26/2004 M 6,000 (1) 06/29/2004 Common Stock 6,000 $0 0 D
Non-Qualified Stock Option (right to buy) $16.125 05/26/2004 M 1,930 06/27/2001 06/27/2011 Common Stock 1,930 $0 4,070 D
Non-Qualified Stock Option (right to buy) $19 05/26/2004 M 6,000 06/29/2000 06/29/2010 Common Stock 6,000 $0 0 D
Non-Qualified Stock Option (right to buy) $22.25 05/26/2004 M 6,000 07/01/1998 07/01/2008 Common Stock 6,000 $0 0 D
Non-Qualified Stock Option (right to buy) $25.6875 05/26/2004 M 2,000 06/30/1999 06/30/2009 Common Stock 2,000 $0 0 D
Non-Qualified Stock Option (right to buy)(2) $30.73 05/26/2004 A 3,039 05/26/2004 06/28/2004 Common Stock 3,039 $0 3,039 D
Non-Qualified Stock Option (right to buy)(2) $30.73 05/26/2004 A 4,345 05/26/2004 07/01/2008 Common Stock 4,345 $0 4,345 D
Non-Qualified Stock Option (right to buy)(2) $30.73 05/26/2004 A 1,672 05/26/2004 06/30/2009 Common Stock 1,672 $0 1,672 D
Non-Qualified Stock Option (right to buy)(2) $30.73 05/26/2004 A 3,710 05/26/2004 06/29/2010 Common Stock 3,710 $0 3,710 D
Non-Qualified Stock Option (right to buy)(2) $30.73 05/26/2004 A 1,013 05/26/2004 06/27/2011 Common Stock 1,013 $0 1,013 D
Explanation of Responses:
1. Vesting of options occurs as to 40% on the first anniversary date following the grant date and as to 30% on each of the next two anniversary dates.
2. Grant to reporting person of option to purchase shares of common stock under Issuer's 2002 Stock Plan (which includes tax withholding rights) in transaction exempt under Rule 16b-3.
By: Warren E. Simpson, Attorney-in-Fact For: Harriet Perlmutter 05/26/2004
** Signature of Reporting Person Date
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 4 (b)(v).
** 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 is insufficient, see Instruction 6 for procedure.
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