0000033769-17-000004.txt : 20170104 0000033769-17-000004.hdr.sgml : 20170104 20170104112606 ACCESSION NUMBER: 0000033769-17-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161230 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BOB EVANS FARMS INC CENTRAL INDEX KEY: 0000033769 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 314421866 STATE OF INCORPORATION: DE FISCAL YEAR END: 0424 BUSINESS ADDRESS: STREET 1: 8111 SMITH'S MILL ROAD CITY: NEW ALBANY STATE: OH ZIP: 43054 BUSINESS PHONE: 614-491-2225 MAIL ADDRESS: STREET 1: 8111 SMITH'S MILL ROAD CITY: NEW ALBANY STATE: OH ZIP: 43054 FORMER COMPANY: FORMER CONFORMED NAME: EVANS BOB FARMS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: TAM O SHANTER LTD INC DATE OF NAME CHANGE: 19750908 FORMER COMPANY: FORMER CONFORMED NAME: EVANS BOB FARMS SALES INC DATE OF NAME CHANGE: 19750423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mohseni Saed CENTRAL INDEX KEY: 0001297003 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-01667 FILM NUMBER: 17504031 MAIL ADDRESS: STREET 1: 720 SW WASHINGTON STREET STREET 2: SUITE 550 CITY: PORTLAND STATE: OR ZIP: 97205 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2016-12-30 0 0000033769 BOB EVANS FARMS INC BOBE 0001297003 Mohseni Saed C/O BOB EVANS FARMS, INC. 8111 SMITH'S MILL ROAD NEW ALBANY OH 43054 1 1 0 0 Chief Executive Officer Phantom Stock 2016-12-30 4 A 0 9.4491 53.64 A Common Stock $.01 Par Value 9.4491 2468.6074 D The shares of phantom stock become payable in Company stock in a lump sum or in installments upon termination of service. Reflects phantom stock acquired through use of dividend reinvestment funds from multiple sources under the Company's deferral plan ("Plan") and into the Company Stock Fund in the Plan. Phantom stock in the Company Stock Fund in the Plan is payable in Company stock in a lump sum or in installments upon termination. Saed Mohseni 2017-01-03