0001181431-11-041321.txt : 20110715 0001181431-11-041321.hdr.sgml : 20110715 20110715133732 ACCESSION NUMBER: 0001181431-11-041321 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110714 FILED AS OF DATE: 20110715 DATE AS OF CHANGE: 20110715 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: 11969975 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: 1231 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 rrd317711.xml FORM 4 X0303 4 2011-07-14 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 2011-07-14 4 A 0 496.5452 23.79 A Common Stock 496.5452 81964.1692 D As a result of the 07/14/2011 dividend, a dividend equivalent payment was credited to the director's phantom stock unit account in the form of additional units. Phantom stock units are to be settled in cash on a 1-for-1 basis upon retirement from the Board or at a permissible future time elected by the director. /s/ Laura A. Donald Attorney-in-Fact 2011-07-15