-----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, IgqhQebfmwZg5hP7z0W+Y7ozrJJg9HWMO87B3hj0xoNsFzYbrHdpee7iCvJf/ZY2 5dO6Tkl/u5m+RpJBdR3eEA== 0001181431-04-046410.txt : 20041004 0001181431-04-046410.hdr.sgml : 20041004 20041004174242 ACCESSION NUMBER: 0001181431-04-046410 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20041004 DATE AS OF CHANGE: 20041004 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBERTS GEORGE R CENTRAL INDEX KEY: 0001081715 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00041 FILM NUMBER: 041063634 BUSINESS ADDRESS: STREET 1: C/O KOHLBERG KRAVIS ROBERTS & CO STREET 2: 9 WEST 57TH ST CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 2127508300 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 rrd54266.xml X0202 4 2004-09-30 0 0000086144 SAFEWAY INC SWY 0001081715 ROBERTS GEORGE R KOHLBERG KRAVIS ROBERTS & CO. 2800 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 1 0 0 0 Phanton Stock Units 2004-09-30 4 A 0 1619.4380 19.2968 A Common Stock 1619.4380 10921.1366 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-----