-----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, NA+bqsiif5MTE/50dToKCxhMJCe3n3kJn2i5kJDtXFktJylVU6C+4xtJNNNnuhbS 9XhrbDAER8VgqYY5MBUV1A== 0000950116-03-002237.txt : 20030409 0000950116-03-002237.hdr.sgml : 20030409 20030409171611 ACCESSION NUMBER: 0000950116-03-002237 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20030407 FILED AS OF DATE: 20030409 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: DRAKE RICHARD J CENTRAL INDEX KEY: 0001197586 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: C/O A.C. MOORE ARTS & CRAFTS, INC. STREET 2: 500 UNIVERSITY COURT CITY: BLACKWOOD STATE: NJ ZIP: 08012 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: A C MOORE ARTS & CRAFTS INC CENTRAL INDEX KEY: 0001042809 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-HOBBY, TOY & GAME SHOPS [5945] IRS NUMBER: 223527763 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23157 FILM NUMBER: 03644441 BUSINESS ADDRESS: STREET 1: 500 UNIVERSITY COURT CITY: BLACKWOOD STATE: NJ ZIP: 08012 BUSINESS PHONE: 6092286700 MAIL ADDRESS: STREET 1: 500 UNIVERSITY COURT CITY: BLACKWOOD STATE: NJ ZIP: 08012 4 1 form4.htm FORM 4 Form 4 – Statement of Changes in Beneficial Ownership – EDGAR Services Provided by St Ives Burrups
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *

Drake Richard J.

(Last)        (First)        (Middle)
 2. Issuer Name A.C. Moore Arts & Crafts, Inc.
     and Ticker or Trading Symbol (ACMR)
 
 
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director                          10% Owner
 Officer (give title below)  Other (specify below)



c/o A.C. Moore Arts & Crafts, Inc.
500 University Court
3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (Voluntary)

 
 
4. Statement for
    Month/Day/Year


04/07/03

(Street)

Blackwood, NJ 08012

5. If Amendment,
    Date of Original
    (Month/Day/Year)


7. Individual or Joint/Group
    Filing (Check Applicable Line)

 Form filed by One Reporting Person
 Form filed by More than One 
     Reporting Person
(City)        (State)        (Zip)

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. Owner-
    ship
    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  04/07/03      1,000  $4.50       
Common Stock  04/07/03    S (1)    1,000  $16.00  4,000 (2)   
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). (Over)
    Persons who 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.  

Form 4
(continued)
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. Conver-
    sion or
    Exer-
    cise
    Price of
    Deriva-
    tive
    Security
3. Trans-
    action
    Date

    (Month/
    Day/
    Year)
3A. Deemed
      Execu-
      tion
      Date, 
      if any

      (Month/
      Day/
      Year)
4. Trans-
    action
    Code
    (Instr. 8)
5. Number
    of Deri-
    vative
    Securities
    Acquired
    (A) or
    Disposed
    of (D)

    (Instr. 3, 4
    and 5)
6. Date
    Exercis-
    able
    (DE) and
    Expiration
    Date (ED)
    (Month/
    Day/
    Year)
7. Title and
    Amount of
    Underlying
    Securities
    (Instr. 3
    and 4)
 8. Price of
     Deriv-
     ative
     Security
     (Instr. 5)
9. Number
    of Deri-
    vative
    Securi-
    ties
    Benefi-
    cially
    Owned
    Follow-
    ing
    Reported
    Trans-
    action(s)

    (Instr. 4)
10. Owner-
      ship
      Form of
      Deriv-
      ative
      Security:
      Direct
      (D) or
      Indirect
      (I)

      (Instr. 4)
11. Nature of
      Indirect
      Benefi-
      cial
      Owner-
      ship
      (Instr. 4)
Code
V
(A)
(D)
DE
ED
   Title   
Amount
or
Number
of
Shares
Director Stock Option (right to buy)   $4.50 (3)  04/07/03        1,000 (3)  (4)  07/18/07  Common Stock  1,000 (3)    19,000 (3)   
Explanation of Responses:
(1) The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by Mr. Drake on October 31, 2002.
(2) On June 25, 2002, ACMR’s Board of Directors approved a two-for-one stock split to shareholders of record as of the close of business on July 15, 2002 (the “Stock Split”). This resulted in Mr. Drake acquiring 2,000 additional shares of ACMR common stock.
(3) This option was previously reported as covering 10,000 shares at an exercise price of $9.00 per share, but was adjusted as a result of the Stock Split into an option to purchase 20,000 shares at an exercise price of $4.50 per share.
(4) This option vested in three equal annual installments on July 22, 1998, July 22, 1999 and July 22, 2000.
The filing of this statement shall not be construed as an admission (a) that the person filing this statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this statement, or (b) that this statement is legally required to be filed by such person.
       
  Richard J. Drake    
  By: /s/ Leslie H. Gordon   April 9, 2003
 
 
  ** Signature of Reporting Person   Date
 
Name: Leslie H. Gordon
   
  Title: Attorney-in-Fact    
   
** 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.
 
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.
Page 2

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