0001140361-11-049504.txt : 20111014 0001140361-11-049504.hdr.sgml : 20111014 20111014132525 ACCESSION NUMBER: 0001140361-11-049504 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111012 FILED AS OF DATE: 20111014 DATE AS OF CHANGE: 20111014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maxwell Terry CENTRAL INDEX KEY: 0001398843 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-25225 FILM NUMBER: 111141409 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: 0730 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 X0304 4 2011-10-12 0 0001067294 CRACKER BARREL OLD COUNTRY STORE, INC CBRL 0001398843 Maxwell Terry 305 HARTMANN DR LEBANON TN 37087 0 1 0 0 Sr. VP, Retail Operations Common Stock 2011-10-12 4 F 0 1654 42.20 D 23395.405 D Represents shares deducted to satisfy federal income tax withholding obligations on the vesting of a portion of a previously disclosed award. Terry Maxwell by Forrest Shoaf, Attorney-in-fact 2011-10-14