-----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, TDeNiyXqbTmESjTdDe6UhgNJPF+UiI2DuzgojDqMiXuAGRaL3DDgGaCbSdgm89a6 7/ZwCMBy3CLd2an3eI5n3A== 0000902664-04-000042.txt : 20040112 0000902664-04-000042.hdr.sgml : 20040112 20040112121548 ACCESSION NUMBER: 0000902664-04-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040109 FILED AS OF DATE: 20040112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOLOMON PETER J CENTRAL INDEX KEY: 0000909061 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19357 FILM NUMBER: 04519884 BUSINESS ADDRESS: STREET 1: 767 FIFTH AVENUE STREET 2: 26TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 MAIL ADDRESS: STREET 1: 767 FIFTH AVENUE STREET 2: 26TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONRO MUFFLER BRAKE INC CENTRAL INDEX KEY: 0000876427 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AUTOMOTIVE REPAIR, SERVICES & PARKING [7500] IRS NUMBER: 160838627 STATE OF INCORPORATION: NY FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 200 HOLLEDER PKWY CITY: ROCHESTER STATE: NY ZIP: 14615-3808 BUSINESS PHONE: 7166476400 4 1 srz9571067v1_ex.xml X0201 4 2004-01-09 0 0000876427 MONRO MUFFLER BRAKE INC MNRO 0000909061 SOLOMON PETER J 767 FIFTH AVENUE 26TH FLOOR NEW YORK NY 10022 1 0 1 0 Common Stock 420527 D Common Stock 2004-01-09 2004-01-09 4 S 0 9300 21.35 D 1362231 I Trustee Common Stock 2004-01-09 2004-01-09 4 S 0 8400 21.50 D 1353831 I Trustee Common Stock 2004-01-09 2004-01-09 4 S 0 256 21.60 D 1353575 I Trustee Includes 20,000 shares of Class C Preferred Stock of the Issuer, presently convertible into 207,900 shares of Common Stock of the Issuer, and also includes options to purchase 45,585 shares of Common Stock of the Issuer, granted pursuant to the Issuer's Non-Employee Directors' Stock Option Plans, which are exercisable within 60 days. Includes 45,000 shares of Class C Preferred Stock of the Issuer, presently convertible into 467,775 shares of Common Stock of the Issuer. Such shares of Common Stock of the Issuer are held by three trusts, each for the benefit of one of Mr. Solomon's three children. Mr. Solomon is a trustee of such trusts and, accordingly, may be deemed to have a beneficial interest therein. Beneficial ownership reported on this Form 4 does not include shares of Common Stock of the Issuer held by charitable foundations of which Mr. Solomon is a trustee. Mr. Solomon expressly disclaims beneficial ownership of securities held by such trusts and charitable foundations, and this report shall not be deemed as admission that Mr. Solomon is the beneficial owner of such securities. /s/ Peter J. Solomon 2004-01-12 -----END PRIVACY-ENHANCED MESSAGE-----