0000813920-12-000015.txt : 20120301 0000813920-12-000015.hdr.sgml : 20120301 20120301165650 ACCESSION NUMBER: 0000813920-12-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120228 FILED AS OF DATE: 20120301 DATE AS OF CHANGE: 20120301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forsythe Randy G CENTRAL INDEX KEY: 0001446741 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13687 FILM NUMBER: 12658634 MAIL ADDRESS: STREET 1: 4441 W. AIRPORT FREEWAY CITY: IRVING STATE: TX ZIP: 75062 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CEC ENTERTAINMENT INC CENTRAL INDEX KEY: 0000813920 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 480905805 STATE OF INCORPORATION: KS FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: PO BOX 152077 CITY: IRVING STATE: TX ZIP: 75015 BUSINESS PHONE: 9722585403 MAIL ADDRESS: STREET 1: PO BOX 152077 CITY: IRVING STATE: TX ZIP: 75015 FORMER COMPANY: FORMER CONFORMED NAME: SHOWBIZ PIZZA TIME INC DATE OF NAME CHANGE: 19920703 4 1 edgar.xml PRIMARY DOCUMENT X0304 4 2012-02-28 0000813920 CEC ENTERTAINMENT INC CEC 0001446741 Forsythe Randy G 4441 W. AIRPORT FREEWAY IRVING TX 75062 0 1 0 0 EVP and Director of Operations Common Stock, Par Value $.10 2012-02-28 4 A 0 9117 0 A 51441 D /s/ Jay A. Young, by power of attorney 2012-03-01