-----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, J2WNkTSY/LdODyDdA97fPrEJhsj3dxr5QbqEjH1OX+3HA4d1eClxdANcJxG4W5LB Nin9j6mb5jGFSYBaoyw08g== 0001258893-04-000004.txt : 20040813 0001258893-04-000004.hdr.sgml : 20040813 20040813161126 ACCESSION NUMBER: 0001258893-04-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAVERTY MICHAEL R CENTRAL INDEX KEY: 0001224434 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17196 FILM NUMBER: 04974501 MAIL ADDRESS: STREET 1: C/O KANSAS CITY SOUTHERN STREET 2: 427 WEST 12TH STREET CITY: KANSAS CITY STATE: MO ZIP: 64105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MGP INGREDIENTS INC CENTRAL INDEX KEY: 0000835011 STANDARD INDUSTRIAL CLASSIFICATION: GRAIN MILL PRODUCTS [2040] IRS NUMBER: 480531200 STATE OF INCORPORATION: KS FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1300 MAIN ST CITY: ATCHISON STATE: KS ZIP: 66002 BUSINESS PHONE: 9133671480 MAIL ADDRESS: STREET 1: 1300 MAIN STREET CITY: ATCHISON STATE: KS ZIP: 66002 FORMER COMPANY: FORMER CONFORMED NAME: MIDWEST GRAIN PRODUCTS INC DATE OF NAME CHANGE: 19920703 5 1 primary_doc.xml PRIMARY DOCUMENT X0202 5 2004-06-30 0 0 0 0000835011 MGP INGREDIENTS INC MGPI 0001224434 HAVERTY MICHAEL R C/O KANSAS CITY SOUTHERN 427 WEST 12TH STREET KANSAS CITY MO 64105 1 0 0 0 Common Stock 7000 D Common Stock 7570 I By ESPP Employee Stock Option 9 2000-04-13 2009-10-13 Common 1000 0 D Employee Stock Option 9.625 2001-04-12 2010-10-12 Common 1000 0 D Employee Stock Option 11.15 2002-04-11 2011-10-11 Common 1000 0 D Employee Stock Option 6.5 2003-04-11 2012-10-11 Common Stock 1000 0 D Employee Stock Option 8.75 2004-04-10 2013-10-10 Common Stock 1000 0 D Includes 253 shares acquired between the period of 7/1/03-6/30/04 under ESPP in a transaction exempt under 16b-3(c). Michael R. Haverty 2004-06-30 -----END PRIVACY-ENHANCED MESSAGE-----