-----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, OmGa6vxmA4z4QiP10CcTsKpwZzzIxyHUkApEiwCsgGX6WrOkjZPRDTvR8w3SXJ26 qtX+Lj3An7ZdI887aehz4A== 0001140361-10-038387.txt : 20100923 0001140361-10-038387.hdr.sgml : 20100923 20100923164036 ACCESSION NUMBER: 0001140361-10-038387 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100921 FILED AS OF DATE: 20100923 DATE AS OF CHANGE: 20100923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCRUGGS PATRICK A CENTRAL INDEX KEY: 0001192893 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25225 FILM NUMBER: 101087019 MAIL ADDRESS: STREET 1: 305 HARTMANN DRIVE CITY: LEBANON STATE: TN ZIP: 37087 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CRACKER BARREL OLD COUNTRY STORE, INC CENTRAL INDEX KEY: 0001067294 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 621749513 STATE OF INCORPORATION: TN FISCAL YEAR END: 0731 BUSINESS ADDRESS: STREET 1: PO BOX 787 CITY: LEBANON STATE: TN ZIP: 370880787 BUSINESS PHONE: 6154439217 MAIL ADDRESS: STREET 1: PO BOX 787 CITY: LEBANON STATE: TN ZIP: 37087 FORMER COMPANY: FORMER CONFORMED NAME: CBRL GROUP INC DATE OF NAME CHANGE: 19980730 4 1 doc1.xml FORM 4 X0303 4 2010-09-21 0 0001067294 CRACKER BARREL OLD COUNTRY STORE, INC CBRL 0001192893 SCRUGGS PATRICK A 305 HARTMANN DR LEBANON TN 37087 0 1 0 0 Vice President Common Stock 2010-09-21 4 F 0 212 50.26 D 588 D Represents shares deducted to satisfy federal income tax withholding obligations on the vesting of a portion of a previously disclosed award. Patrick A. Scruggs by Forrest Shoaf, Attorney-in-fact 2010-09-23 -----END PRIVACY-ENHANCED MESSAGE-----