SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SACK BURTON M

(Last) (First) (Middle)
4551 WEST 107TH ST
STE 100

(Street)
OVERLAND PARK KS 66207

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
APPLEBEES INTERNATIONAL INC [ APPB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/03/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/03/2003 S 5,000 D $38.35 1,615,831(1) D
Common Stock 11/03/2003 S 4,500 D $38.35 1,611,331(2) D
Common Stock 11/03/2003 S 500 D $38.36 1,610,831(3) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Includes 1,242,008 of direct holdings. Also includes indirect holdings of 156,000 in Sack Family Partners, 59,358 shares held by David A. Sack Irrevocable Trust, 147,070 shares held by Scott A. Sack Irrevocable Trust, 6,975 shares held by an IRA maintained by the spouse of the reporting person, and 4,420 shares held by the Sack Family Foundation maintained by the reporting person.
2. Includes 1,242,008 of direct holdings. Also includes indirect holdings of 156,000 in Sack Family Partners, 59,358 shares held by David A. Sack Irrevocable Trust, 147,070 shres held by Scott A. Sack Irrevocable Trust and 6,975 shares held by an IRA maintained by the spouse of the reporting person.
3. Includes 1,242,008 of direct holdings. Also includes indirect holdings of 156,000 in Sack Family Partners, 59,358 shares held by David A. Sack Irrevocable Trust, 147,070 shares held by Scott A. Sack Irrevocable Trust and 6,975 shares held by an IRA maintained by the spouse of the reporting person.
Burton M. Sack 11/05/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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