-----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, UpOG8yDYkl1yjT0tuD7sftYXVa1dzxTiPji15ezdZeVZq+qvMm9KPbeWnqFij1UL +QjttNo81S6VS8SZHjEUpQ== 0000037914-04-000024.txt : 20040709 0000037914-04-000024.hdr.sgml : 20040709 20040709152147 ACCESSION NUMBER: 0000037914-04-000024 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040628 FILED AS OF DATE: 20040709 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLYNN THOMAS H CENTRAL INDEX KEY: 0001229864 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-05745 FILM NUMBER: 04908008 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/A 1 form4a0702_ex.xml X0202 4/A 2004-06-28 2004-06-30 0 0000037914 FOODARAMA SUPERMARKETS INC FSM 0001229864 FLYNN THOMAS H 922 HWY. 33 BLDG. 6 FREEHOLD NJ 07728 0 1 0 0 Chief Accounting Officer Common Stock, $1 par value 2004-06-28 4 M 0 250 19.60 A 250 D Common Stock, $1 par value 2004-06-28 4 D 0 250 43.75 D 0 D Stock Performance Units 19.60 2004-06-28 4 M 0 250 19.60 D Common Stock, $1 par value 250 0 D On the date of grant, August 8, 2001, 250 of the 750 Stock Performance Units ("Units"), vested and became redeemable. The remaining 500 Units vested and became redeemable in equal annual installments on the first and second anniversary of the grant date, August 8, 2002 and August 8, 2003, respectively. These Units expire August 8, 2011. The Stock Performance Unit Agreement provides that the amount payable upon redemption of such Units shall be settled exclusively by payment in cash. /s/ Thomas H. Flynn 2004-07-08 -----END PRIVACY-ENHANCED MESSAGE-----