-----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, MQ9NctQYgqT1sUuOgf7gG9VEVWpZ3Lzwtmo8Pc0A2wXymquXUiacmZ/zKGFZPBf0 MVr6zDqM3usJf9b6M1WGQw== 0000037914-04-000030.txt : 20040916 0000037914-04-000030.hdr.sgml : 20040916 20040916124043 ACCESSION NUMBER: 0000037914-04-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040914 FILED AS OF DATE: 20040916 DATE AS OF CHANGE: 20040916 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALTOBELLI EMORY A CENTRAL INDEX KEY: 0001187234 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05745 FILM NUMBER: 041033248 BUSINESS ADDRESS: STREET 1: C/O FOODARAMA SUPERMARKETS INC STREET 2: 922 HIGHWAY 33 BLDG 6 CITY: FREEHOLD STATE: NJ ZIP: 07728 BUSINESS PHONE: 7322942270 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 pform40904_ex.xml X0202 4 2004-09-14 0 0000037914 FOODARAMA SUPERMARKETS INC FSM 0001187234 ALTOBELLI EMORY A C/O FOODARAMA SUPERMARKETS INC 922 HIGHWAY 33 BLDG 6 FREEHOLD NJ 07728 0 1 0 0 Senior Vice President Common Stock, $1 par value 2004-09-14 4 M 0 250 19.60 A 275 D Common Stock, $1 par value 2004-09-14 4 D 0 250 47.00 D 25 D Employee Stock Option (Right to Buy) 19.60 2001-08-08 4 A 0 750 A Common Stock, $1 par value 750 D Stock Performance Units 19.60 2004-09-14 4 M 0 250 19.60 D Common Stock, $1 par value 250 0 D The 250 Stock Performance Units (the "Units"), vested and became redeemable on August 8, 2004, the third anniversary of the grant date, The Units would have expired 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. Options with respect to 250 of the original 750 shares granted became exercisable on the date of grant, August 8, 2001. The remaining 500 shares became exercisable over a period of two (2) years from the date of grant (August 8, 2001). These options expire August 8, 2011. Emory A. Altobelli 2004-09-15 -----END PRIVACY-ENHANCED MESSAGE-----