-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UGGMHBH54UxJfD1pwAhxIfiNeBlNaYQmqhp1PLChbRN2rOiHVaIk21JXs+2Kp82g Yp5kTUrRBowrt5m4dVq2vw== 0001209191-04-003035.txt : 20040115 0001209191-04-003035.hdr.sgml : 20040115 20040115110006 ACCESSION NUMBER: 0001209191-04-003035 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031228 FILED AS OF DATE: 20040115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOLBROOK DICK R CENTRAL INDEX KEY: 0001208381 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-32369 FILM NUMBER: 04526403 BUSINESS ADDRESS: STREET 1: AFC ENTERPRISES INC STREET 2: SIX CONCOURSE PKWY SUITE 1700 CITY: ATLANTA STATE: GA ZIP: 30328-5352 BUSINESS PHONE: 7703919500 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AFC ENTERPRISES INC CENTRAL INDEX KEY: 0001041379 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 582016606 STATE OF INCORPORATION: MN FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: SIX CONCOUSE PARKWAY SUITE 1700 CITY: ATLANTA STATE: GA ZIP: 30328 BUSINESS PHONE: 7703919500 MAIL ADDRESS: STREET 1: SIX CONCOUSE PARKWAY SUITE 1700 CITY: ATLANTA STATE: GA ZIP: 30328 5 1 doc5.xml FORM 5 SUBMISSION X0201 52003-12-280000001041379AFC ENTERPRISES INC AFCE0001208381HOLBROOK DICK RAFC ENTERPRISES, INC.SIX CONCOURSE PKWY, SUITE 1700ATLANTAGA30328-53521100President and COOCommon Stock2003-04-105J019208.00000A198298.0000DCommon Stock2003-04-105J019208.00000D30805.0000IBy Dick R. Holbrook Annuity TrustCommon Stock500.0000IBy SpouseThe Grantor Retained Annutiy Trust, of which the reporting person is a Trustee, distributed to the reporting person the shares reported in satisfaction of the Trust's obligation to pay distributions to the reporting person.Dick R. Holbrook2004-01-15 -----END PRIVACY-ENHANCED MESSAGE-----