-----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, ScxqdZj4llhTs4YIYM6AwhiH4IjT/dmi1v5mamvY/KqSUzVb63bB4kt5xaL9cmQ6 owP2/b/11x+zJ0EwrKNP4g== 0001181431-04-046406.txt : 20041004 0001181431-04-046406.hdr.sgml : 20041004 20041004173928 ACCESSION NUMBER: 0001181431-04-046406 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20041004 DATE AS OF CHANGE: 20041004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAZEN PAUL CENTRAL INDEX KEY: 0001192055 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00041 FILM NUMBER: 041063619 MAIL ADDRESS: STREET 1: P O BOX 7070 CITY: CARMEL STATE: CA ZIP: 93921 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SAFEWAY INC CENTRAL INDEX KEY: 0000086144 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 943019135 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 5918 STONERIDGE MALL RD CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 9254673000 MAIL ADDRESS: STREET 1: 5918 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 FORMER COMPANY: FORMER CONFORMED NAME: SAFEWAY STORES INC DATE OF NAME CHANGE: 19900226 4 1 rrd54225.xml X0202 4 2004-09-30 0 0000086144 SAFEWAY INC SWY 0001192055 HAZEN PAUL NE CORNER OF 7TH ST & MONTE VERDE AVENUE CARMEL CA 93921 1 0 0 0 Phantom Stock Units 2004-09-30 4 A 0 2720.6558 19.2968 A Common Stock 2720.6558 18349.1934 D The phantom stock units were accrued under the Safeway Inc. Directors Deferred Compensation Plan and are to be settled in cash on a 1-for-1 basis upon the reporting person's retirement. Linda C. Sayler, Attorney-in-Fact 2004-10-04 -----END PRIVACY-ENHANCED MESSAGE-----