-----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, Ou5qKmyhF2/SQJIphFZCN+s26MQ+wfYtrx0KKiHxe542CiRVgDBQHvoPe0vePflJ 0XpcqxNUAPSGb2unresAHA== 0000037914-03-000011.txt : 20030214 0000037914-03-000011.hdr.sgml : 20030214 20030214135359 ACCESSION NUMBER: 0000037914-03-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021102 FILED AS OF DATE: 20030214 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: SAKER RICHARD J CENTRAL INDEX KEY: 0000905246 RELATIONSHIP: OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O FOODARAMA SUPERMARKETS INC STREET 2: 922 HIGHWAY 33, BUILDING 6 CITY: FREEHOLD STATE: NJ ZIP: 07728 BUSINESS PHONE: 7324624700 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FOODARAMA SUPERMARKETS INC CENTRAL INDEX KEY: 0000037914 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 210717108 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1102 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05745 FILM NUMBER: 03565860 BUSINESS ADDRESS: STREET 1: 922 HIGHWAY 33 STREET 2: BLDG 6 CITY: FREEHOLD STATE: NJ ZIP: 07728 BUSINESS PHONE: 7324624700 MAIL ADDRESS: STREET 1: 922 HIGHWAY 33 STREET 2: BLDG 6 CITY: FREEHOLD STATE: NJ ZIP: 07728 4 1 pf4rs2003.txt FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 OMB APPROVAL OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response. . . . 0.5 Form 4: |_| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) 1. Name and Address of Reporting Person: Saker Richard J (Last) (First) (Middle) 922 Highway 33 Freehold, New Jersey 07728 (Street) (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: Foodarama Supermarkets, Inc. (FSM) 3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) 4. Statement for Month/Day/Year: February 13, 2003 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to issuer (Check all applicable): _X_ Director; _X_ Officer; _X_ 10% Owner: President and Secretary 7. Individual or Joint/Group Filing (Check Applicable Line): _X_ Form filed by one reporting person Table I-Non Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security (Instr. 3) Common Stock: $1 Par Value 2. Transaction Date(Month/Day/Year): February 13, 2003 2a. Deemed Execution Date; if any; (Month/Day/Year): 3. Transaction Code (Instr. 8.): Code: _P_; _V_: 4. Securities Acquired (A) or Disposed (D) (Instr. 3, 4 and 5): Amount: 21,500; (A) or (D): (A); Price: $23.00 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4): 200,803. 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): (D) 21,500; (I)(1) 34,000; (D) 142,166; (I) 1,760; (I) 1,377 7. Nature Of Indirect Benficial Ownership (Instr. 4) 34,000 see (1); 1,760 Spouse; 1,377 Trust in name of son. Table II- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g. , puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr.3): Employee Stock Option (Right to buy) 2. Conversion or Exercise Price of Derivative Security: 3. Transaction Date (Month/Day/Year): 3a. Deemed Execution Date; if any; (Month/Day/Year): 4. Transaction Code (Instr. 8): Code: __ ; _V_: 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5): (A) __: ; (D)__: 6. Date Exerciseable and Expiration Date (Month/Day/Year): Date Exerciseable: ________; Expiration Date: ________ 7. Title and Amount of Underlying Securities (Instr. 3 and 4): Title: ______ ; Amount or Number of Shares: _____________ 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr.4) 10. Ownership Form of Derivative Securities Beneficially Owned at End of Month (Instr. 4): 11. Nature of Indirect Beneficial Ownership (Instr. 4) Explanation of Responses:(1) The Joseph Saker Family Partnership, L.P. (the "Partnership"), holds 85,000 shares of Common Stock of Foodarama Supermarkets, Inc. (the "Company"). The Saker Family Corporation is sole general partner (the "General Partner") of the Partnership. Richard J. Saker owns 40% of the outstanding capital stock of the General Partner. The General Partner owns a 1% interest in the Partnership and has the sole power to dispose of the shares of the Common Stock of the Company only upon the unanimous consent of all shareholders of the General Partner. On other matters not involving the sale, transfer or other disposition of such shares, the shares of the Common Stock of the Company held by the Partnership are voted as directed by the individual shareholders of the General Partner in accordance with their respective ownership interests in the General Partner. Accordingly, the General Partner votes 34,000 shares as directed by Richard J. Saker on such other matters. In addition to his ownership interest in the General Partnership, Richard J. Saker is a beneficiary of the trust which owns a 99% interest in the Partnership (the "Limited Partner"). Thus, Richard J. Saker has an indirect interest in the Company Common Stock held by the Partnership by reason of a 40% beneficial interest in the Limited Partner. Richard J. Saker disclaims beneficial ownership of shares held by the Partnership in excess of his pecuniary interest. /S/ Richard J. Saker February 13, 2003 ------------------------------- ---------------------------- **Signature of Reporting Person Date Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure -----END PRIVACY-ENHANCED MESSAGE-----