-----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, HV+k93Yw74zbceR31zZsixjOTOX3H/I5Nc5T66YkBiFbBfmkl9lk5EuKuUrSjN/T dMSi7g0yBZ3ItJ7qDYLgwg== 0001209191-04-052964.txt : 20041116 0001209191-04-052964.hdr.sgml : 20041116 20041116145649 ACCESSION NUMBER: 0001209191-04-052964 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041115 FILED AS OF DATE: 20041116 DATE AS OF CHANGE: 20041116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROCKMAN ROBERT D CENTRAL INDEX KEY: 0001184919 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09733 FILM NUMBER: 041149252 BUSINESS ADDRESS: STREET 1: C/O CASH AMERICA INTERNATIONAL INC STREET 2: 1600 W. 7TH ST. CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8173351100 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CASH AMERICA INTERNATIONAL INC CENTRAL INDEX KEY: 0000807884 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900] IRS NUMBER: 752018239 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 W 7TH ST CITY: FT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8173351100 MAIL ADDRESS: STREET 1: 1600 WEST 7TH STREET CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: CASH AMERICA INVESTMENTS INC /TX/ DATE OF NAME CHANGE: 19920520 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-11-15 0 0000807884 CASH AMERICA INTERNATIONAL INC PWN 0001184919 BROCKMAN ROBERT D 1600 W. 7TH STREET FORT WORTH TX 76102 0 1 0 0 Exec. VP - Administration Common Stock, par value $.10 2004-11-15 4 M 0 15000 8.375 A 15000 D Common Stock, par value $.10 2004-11-15 4 M 0 25000 7.95 A 40000 D Common Stock, par value $.10 2004-11-15 4 S 0 40000 26.9077 D 0 D Stock Options (right to buy) 8.375 2004-11-15 4 M 0 15000 D 2000-01-21 2007-01-20 Common Stock 15000 142429 D Stock Options (right to buy) 7.95 2004-11-15 4 M 0 25000 D 2003-07-28 2012-01-23 Common Stock 25000 117429 D Not applicable. Includes 16,627 Restricted Stock Units and 100,802 stock options for the right to buy Common Stock. The Reporting Person owns 1,753.196 shares indirectly. /s/ Robert D. Brockman 2004-11-16 -----END PRIVACY-ENHANCED MESSAGE-----