-----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, QFLsQ+8mM14oUfM/fRdPRMnI4yrEZzGxADfUH4ewg1QZ0ZccfhGIIb7K2rmdcIQ5 wRkYpQFKockSCLnMAZ+zzg== 0000950157-04-000665.txt : 20040921 0000950157-04-000665.hdr.sgml : 20040921 20040921140326 ACCESSION NUMBER: 0000950157-04-000665 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040917 FILED AS OF DATE: 20040921 DATE AS OF CHANGE: 20040921 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAUB ERIVAN KARL CENTRAL INDEX KEY: 0001258200 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04141 FILM NUMBER: 041039056 BUSINESS ADDRESS: STREET 1: WISSOLLSTRAESE 5-43 STREET 2: 45478 MULHEIM AN DER RUHR CITY: GERMANY STATE: 2M ZIP: 00000 MAIL ADDRESS: STREET 1: WISSOLLSTRAESE 5-43 STREET 2: 45478 MULHEIM AN DER RUHR CITY: GERMANY STATE: 2M ZIP: 00000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GREAT ATLANTIC & PACIFIC TEA CO INC CENTRAL INDEX KEY: 0000043300 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 131890974 STATE OF INCORPORATION: MD FISCAL YEAR END: 0228 BUSINESS ADDRESS: STREET 1: 2 PARAGON DR CITY: MONTVALE STATE: NJ ZIP: 07645 BUSINESS PHONE: 2015739700 MAIL ADDRESS: STREET 1: 2 PARAGON DRIVE CITY: MONTVALE STATE: NJ ZIP: 07645 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-09-17 0 0000043300 GREAT ATLANTIC & PACIFIC TEA CO INC GAP 0001258200 HAUB ERIVAN KARL WISSOLLSTRASSE 5-43 45478 MULHEIM AN DER RUHR 2M GERMANY 0 0 1 0 Common Stock, $1 par value 2004-09-17 4 A 0 6944 0 A 9744 I Spouse Common Stock, $1 par value 1988-08-08 4 P 0 0 0 A 21995371 I Limited Partnership Common Stock, $1 par value 1988-08-08 4 P 0 0 0 A 125100 D The number of shares awarded annually is intended to make the award worth $45,000 under the issuer's 2004 Non-Employee Director Compensation Plan. The reporting person expressly declares that the filing of this statement is not an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of shares owned by his spouse. Shares owned by Tengelmann Warenhandelsgesellschaft KG, a German limited partnership. The reporting person expressly declares that the filing of this statement is not an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of shares owned by Tengelmann. The reporting person is a citizen of the Federal Republic of Germany. Erivan Karl Haub by John D. Barline (Attorney-in-Fact) 2004-09-21 -----END PRIVACY-ENHANCED MESSAGE-----