-----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, UJiqtj+CjDaQKBOc+281fc8AXLz4e26yi1VttRqskBwUr/mK1DC+YvjfT0LR3N/W 24i9Hry9NHHQf/wCeSG+2w== 0001303494-09-000003.txt : 20091130 0001303494-09-000003.hdr.sgml : 20091130 20091130150610 ACCESSION NUMBER: 0001303494-09-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091130 FILED AS OF DATE: 20091130 DATE AS OF CHANGE: 20091130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bourg Michael J CENTRAL INDEX KEY: 0001303336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-01227 FILM NUMBER: 091211840 MAIL ADDRESS: STREET 1: 901 FRONTENAC ROAD CITY: NAPERVILLE STATE: IL ZIP: 60563 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHICAGO RIVET & MACHINE CO CENTRAL INDEX KEY: 0000019871 STANDARD INDUSTRIAL CLASSIFICATION: METALWORKING MACHINERY & EQUIPMENT [3540] IRS NUMBER: 360904920 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 901 FRONTENAC RD STREET 2: P O BOX 3061 CITY: NAPERVILLE STATE: IL ZIP: 60566 BUSINESS PHONE: 6303578500 MAIL ADDRESS: STREET 1: 901 FRONTENAC RD STREET 2: P O BOX 3061 CITY: NAPERVILLE STATE: IL ZIP: 60566 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-11-30 0 0000019871 CHICAGO RIVET & MACHINE CO CVR 0001303336 Bourg Michael J 901 FRONTENAC ROAD NAPERVILLE IL 60563 1 0 0 0 Common Stock $1.00 par value 2009-11-30 4 P 0 500 14.474 A 700 D Michael J. Bourg 2009-11-30 -----END PRIVACY-ENHANCED MESSAGE-----