-----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, R112w+cAu0b9wi316ERscSjp1hxmXdOWUHFDwRc05wEEIe5ujZWvG+3qPj1zwgrw ksu27ATxjA2Yfj2YNCBeeg== 0000037914-04-000018.txt : 20040630 0000037914-04-000018.hdr.sgml : 20040630 20040630090731 ACCESSION NUMBER: 0000037914-04-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040628 FILED AS OF DATE: 20040630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MONTANARO CARL L CENTRAL INDEX KEY: 0001187044 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05745 FILM NUMBER: 04890076 BUSINESS ADDRESS: STREET 1: 922 HIGHWAY 33 STREET 2: BUILDING 6 CITY: NEW JERSEY STATE: NJ ZIP: 07728 ISSUER: 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 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 form4628_ex.xml X0202 4 2004-06-28 0 0000037914 FOODARAMA SUPERMARKETS INC FSM 0001187044 MONTANARO CARL L 922 HIGHWAY 33 BUILDING 6 FREEHOLD NJ 07728 0 1 0 0 Senior Vice President Common Stock $1 Par Value 2004-06-28 4 M 0 250 19.60 A 265 D Employee Stock Option (Right to Buy) 19.60 2004-06-28 4 M 0 250 19.60 D Common Stock $1 Par Value 250 500 D Options with respect to 250 of the original 1,000 shares granted were exercisable on the date of grant, August 8, 2001. The remaining 750 shares are exercisable in equal annual installments over a period of three (3) years from the date of grant (August 8, 2001). These options expire August 8, 2011. /S/ Carl L. Montanaro 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----