0001140361-12-000794.txt : 20120104 0001140361-12-000794.hdr.sgml : 20120104 20120104154934 ACCESSION NUMBER: 0001140361-12-000794 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120101 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZYLSTRA MICHAEL J CENTRAL INDEX KEY: 0001192896 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-25225 FILM NUMBER: 12505989 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: 620812904 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 3 1 doc1.xml FORM 3 X0204 3 2012-01-01 0 0001067294 CRACKER BARREL OLD COUNTRY STORE, INC CBRL 0001192896 ZYLSTRA MICHAEL J 305 HARTMANN DR LEBANON TN 37087 0 1 0 0 VP & General Counsel Common Stock 1103 D Michael J. Zylstra 2012-01-04