0001140361-12-035569.txt : 20120807 0001140361-12-035569.hdr.sgml : 20120807 20120807184601 ACCESSION NUMBER: 0001140361-12-035569 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100914 FILED AS OF DATE: 20120807 DATE AS OF CHANGE: 20120807 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ciavarra Christopher Alex CENTRAL INDEX KEY: 0001485100 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-25225 FILM NUMBER: 121014687 MAIL ADDRESS: STREET 1: 305 HARTMANN DR 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: 0729 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 X0306 4 2010-09-14 0 0001067294 CRACKER BARREL OLD COUNTRY STORE, INC CBRL 0001485100 Ciavarra Christopher Alex 305 HARTMANN DRIVE LEBANON TN 37087 0 1 0 0 Sr. VP, Marketing Common Stock 2010-09-14 4 A 0 1000 0 A 7000 D Common Stock 2012-08-03 4 F 0 265 62.96 D 6735 D Award based upon vesting requirements and certification by the Compensation Committee of achievement of income goal under the 2010 Long-Term Incentive Plan. Represents shares deducted to satisfy federal income tax withholding obligations on the vesting of the award disclosed in this filing. Christopher A. Ciavarra by Michael J. Zylstra, Attorney-in-fact 2012-08-07