-----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, NaKEj1xNPzwr41TUpJgcIn/SV1e6AHsievFaa98hG3BAH057jtAbBI8rDki2SL0S PkUboysFzOy8dIE3V500gw== 0001181431-04-049177.txt : 20041027 0001181431-04-049177.hdr.sgml : 20041027 20041027181617 ACCESSION NUMBER: 0001181431-04-049177 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041021 FILED AS OF DATE: 20041027 DATE AS OF CHANGE: 20041027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GYANI MOHAN S CENTRAL INDEX KEY: 0001182428 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00041 FILM NUMBER: 041100491 MAIL ADDRESS: STREET 1: 7277 164TH AVE NE STREET 2: BLDG1 CITY: REDMOND STATE: WA ZIP: 98052 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 rrd55847.xml X0202 4 2004-10-21 0 0000086144 SAFEWAY INC SWY 0001182428 GYANI MOHAN S 5918 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 0 0 0 Employee Stock Option (right to buy) 18.12 2004-10-21 4 A 0 20000 0 A 2014-10-22 Common Stock 20000 20000 D Granted under the Safeway Inc. 1999 Amended and Restated Equity Participation Plan, which is a Rule 16b-3 plan. The option becomes fully exercisable on 10/21/07. /s/ Suzan Rowland, Attorney-in-Fact 2004-10-27 -----END PRIVACY-ENHANCED MESSAGE-----