-----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, IW0ztd1GB1pI7HMbKnQmI31UQkBO4gYvAaukAjPLGh3SZYcBVEHrdDIUMaVt1RBi 6lnOzJCIlI8aIaY4XbG0OA== 0001209191-04-050532.txt : 20041102 0001209191-04-050532.hdr.sgml : 20041102 20041102103610 ACCESSION NUMBER: 0001209191-04-050532 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040810 FILED AS OF DATE: 20041102 DATE AS OF CHANGE: 20041102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERENSON RICHARD A CENTRAL INDEX KEY: 0001236516 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19357 FILM NUMBER: 041111936 MAIL ADDRESS: STREET 1: 4903 CERROMAR DR CITY: NAPLES STATE: FL ZIP: 34112 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 bcl10232_bcl1rab.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-08-10 0000876427 MONRO MUFFLER BRAKE INC MNRO 0001236516 BERENSON RICHARD A 4903 CERROMAR DR NAPLES FL 34112 1 0 0 0 Common Stock 2250 D Options (Right to buy) 22.86 2004-08-10 2004-08-10 4 M 0 4559 22.86 A 2004-08-10 2009-08-09 Common Stock 4559 4559 D This number includes an adjustment of 750 shares to reflect the three-for-two stock split in the form of a 50% stock dividend paid October 31, 2003 to holders of record as of October 21, 2003. /s/ Richard A. Berenson 2004-11-02 -----END PRIVACY-ENHANCED MESSAGE-----