-----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, KVuS8t3mZp5MgJ5qG8rytFO2l7CV0a/cn3zmvz4NF5ciZeDH6/0TaHoUftorFv3x 3ml9ZMOkKmoxyLU9QJ2oZw== 0001181431-05-002181.txt : 20050107 0001181431-05-002181.hdr.sgml : 20050107 20050107192319 ACCESSION NUMBER: 0001181431-05-002181 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20050107 DATE AS OF CHANGE: 20050107 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-00041 FILM NUMBER: 05519352 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/A 1 rrd64324.xml FORM 4A X0202 4/A 2004-09-30 2004-10-04 1 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 Phantom Stock Units 2004-09-30 4 A 0 1545.8272 20.2157 A Common Stock 1545.8272 10847.5258 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. This Form 4 is being amended to correct the applicable price (col.8 of Table II) of the underlying common stock on which the award of phantom stock units is based; consequently, the number of derivative securities acquired (col.5), the number of underlying securities (col.7) and the aggregate number of derivative securities beneficially owned (col.9) have been adjusted accordingly. /s/ Linda C. Sayler, Attorney-in-Fact 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----