-----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, AcXBkp0wnlNE/XOXikPp0KezDapUgJd7c+xlxYn5d+3xre8aRNdbDmWgwuOmWz6T /wyS46rOrtjy8H1nD+sehA== 0000893877-97-000329.txt : 19970522 0000893877-97-000329.hdr.sgml : 19970522 ACCESSION NUMBER: 0000893877-97-000329 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970511 FILED AS OF DATE: 19970521 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SMITHS FOOD & DRUG CENTERS INC CENTRAL INDEX KEY: 0000850309 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 870258768 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10252 FILM NUMBER: 97612316 BUSINESS ADDRESS: STREET 1: 1550 S REDWOOD RD CITY: SALT LAKE CITY STATE: UT ZIP: 84104 BUSINESS PHONE: 8019741400 COMPANY DATA: COMPANY CONFORMED NAME: MEYER FRED INC CENTRAL INDEX KEY: 0000701169 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] OWNER IRS NUMBER: 930798201 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 3800 SE 22ND AVE CITY: PORTLAND STATE: OR ZIP: 97202 BUSINESS PHONE: 5032328844 MAIL ADDRESS: STREET 1: PO BOX 42121 CITY: PORTLAND STATE: OR ZIP: 97242 3 1 FORM 3
- ------ ---------------------------- FORM 3 OMB APPROVAL - ------ ---------------------------- U.S. SECURITIES AND EXCHANGE COMMISSION OMB Number: 3235-0104 Washington, D.C. 20549 Expires: September 30, 1998 Estimated average burden INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES hours per response.......0.5 ---------------------------- 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(f) of the Investment Company Act of 1940 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event 4. Issuer Name and Ticker or Trading Symbol Requiring Statement (Month/Day/Year) Smith's Food & Drug Centers, Inc. ("SFD") Fred Meyer, Inc. ------------------------------------------------------------ ------------------------------------------ 5. Relationship of Reporting Person 6. If Amendment, (Last) (First) (Middle) to Issuer Date of Original May 11, 1997 (Check all applicable) (Month/Day/Year) --------------------------- 3800 SE 22nd Avenue 3. IRS or Social Director X 10% Owner ----------------------- ------------------------------------------ Security Number of --- --- 7. Individual or Joint (Street) Reporting Person /Group Filing (Voluntary) Officer Other (Check Applicable --- (give title --- (specify Line) Portland Oregon 97202 below) below) X Form filed by One ------------------------------------------ --- Reporting Person (City) (State) (Zip) Form filed by More ---------------------------- than One Reporting --- Person --------------------------------------------------------------------------------------- TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial (Instr. 4) Beneficially Owned Form: Direct (D) Ownership (Instr. 5) (Instr. 4) or Indirect (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ (1) In connection with a proposed reorganization transaction (the "Reorganization") between the Reporting Person and the Issuer, the Reporting Person has entered into voting agreements (the "Voting Agreements") with certain shareholders of the Issuer. The Voting Agreements provide that the shareholders will vote all securities of the Issuer held by such shareholders that are entitled to vote at the meeting of the shareholders of the Issuer called to consider and vote upon the Reoganization (i) in favor of approving the Reorganization, (ii) against any other merger agreement or merger, consolidation, combination, dissolution, liquidation or winding up by the Issuer, or any other acquisition proposal, and (iii) against any amendment to the Issuer's certificate of incorporation or bylaws or other proposal or transaction that would in any manner impede, frustrate, prevent, or nullify the Reorganization. The Reporting Person has no pecuniary interest in such shares and disclaims beneficial ownership of such shares. Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form is filed by more than one reporting person, see Instruction 5(b)(v). SEC 1473 (7-96)
FORM 3 (continued) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Ownership 6. Nature of (Instr. 4) cisable and Underlying Derivative Security sion or Form of Indirect Expiration (Instr. 4) Exercise Derivative Beneficial Date Price of Security: Ownership (Month/Day/ Derivative Direct (D) (Instr. 5) Year) Security or ----------------------------------------------------- Indirect (I) Date Expira- Amount or (Instr. 5) Exer- tion Title Number of cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: FRED MEYER, INC. ** Intentional misstatements or omissions of facts By: ROGER A. COOKE* May 20, 1997 constitute Federal Criminal Violations. ------------------------------------ -------------------------- See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date * Roger A. Cooke, Sr. Vice President, General Counsel and Secretary Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information in this form are Page 2 not required to respond unless the form displays a correct valid OMB Number. SEC 1473 (7-96)
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