-----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, R6JTs9TDwiXM4VEfsknWtO6G5xshw28hnx4Ygz4UU9Iykct3Wkn2fbhGs25YGwHe m3vb1Od2r9/fsiaYK1nseg== 0000215419-04-000078.txt : 20040928 0000215419-04-000078.hdr.sgml : 20040928 20040928161125 ACCESSION NUMBER: 0000215419-04-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040924 FILED AS OF DATE: 20040928 DATE AS OF CHANGE: 20040928 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELLIOTT R KEITH CENTRAL INDEX KEY: 0001060570 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11257 FILM NUMBER: 041050059 BUSINESS ADDRESS: STREET 1: 240 TRADEWIND DRIVE CITY: PALM BEACH STATE: FL ZIP: 33480 BUSINESS PHONE: 5618419245 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHECKPOINT SYSTEMS INC CENTRAL INDEX KEY: 0000215419 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] IRS NUMBER: 221895850 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 WOLF DR STREET 2: P O 188 CITY: THOROFARE STATE: NJ ZIP: 08086 BUSINESS PHONE: 856-384-2460 MAIL ADDRESS: STREET 1: 101 WOLF DRIVE CITY: THOROFARE, STATE: NJ ZIP: 08086 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-09-24 0000215419 CHECKPOINT SYSTEMS INC CKP 0001060570 ELLIOTT R KEITH 101 WOLF DRIVE THOROFARE NJ 08086 1 0 0 0 Phantom Stock 2004-09-24 2004-09-24 4 A 0 964.6963 15.225 A Common Stock 964.6963 22639.6736 D 1 for 1 The shares of phantom stock become payable in common stock at the election of the reporting person, upon the reporting person's termination of service as a director. Carol Welch p/o/a R. Keith Elliott 2004-09-28 -----END PRIVACY-ENHANCED MESSAGE-----