-----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, VsFaEMm/cMA7pR4QnM2iKtF1GHpHC9Eg2cbABcbS6k4CkbHPkjzLryZmip6xIKSJ txGFU2h2Zh45QwRPL3lZOg== /in/edgar/work/20000911/0000905729-00-500054/0000905729-00-500054.txt : 20000922 0000905729-00-500054.hdr.sgml : 20000922 ACCESSION NUMBER: 0000905729-00-500054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000831 FILED AS OF DATE: 20000911 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SPARTAN STORES INC CENTRAL INDEX KEY: 0000877422 STANDARD INDUSTRIAL CLASSIFICATION: [5141 ] IRS NUMBER: 380593940 STATE OF INCORPORATION: MI FISCAL YEAR END: 0329 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-31127 FILM NUMBER: 720813 BUSINESS ADDRESS: STREET 1: 850 76TH ST SW STREET 2: P O BOX 8700 CITY: GRAND RAPIDS STATE: MI ZIP: 49518 BUSINESS PHONE: 6168782000 MAIL ADDRESS: STREET 1: 850 76TH ST SW STREET 2: PO BOX 8700 CITY: GRAND RAPIDS STATE: MI ZIP: 49518 COMPANY DATA: COMPANY CONFORMED NAME: FOSNAUGH CHARLES B CENTRAL INDEX KEY: 0001119651 STANDARD INDUSTRIAL CLASSIFICATION: [ ]OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 850 76TH STREET SW CITY: GRAND RAPIDS STATE: MI ZIP: 49518 4 1 fos4.htm FORM 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

 
OMB APPROVAL

[   ] Check this box if no longer
       subject to Section 16. Form 4 or
       Form 5 obligations may continue.
       See Instruction 1(b).

Washington, D.C. 20549
 
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(Print or Type Responses)

BENEFICIAL OWNERSHIP

 

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

1.    Name and Address of Reporting Person*
 
 Fosnaugh                      Charles                       B.
        (Last)                                        (First)                                   (Middle)
4.    Statement for Month/Year
 
    August 2000
 
 
 
 850 - 76th Street, SW
                                                        (Street)
5.    If Amendment, Date of Original (Month/Year)
 
 
 
 
 Grand Rapids             Michigan             49518
        (City)                                        (State)                                   (Zip)
 
2.    Issuer Name and Ticker or Trading Symbol  
 
     Spartan Stores, Inc. ("SPTN")
6.    Relationship of Reporting Person(s) to Issuer
                                    (Check all applicable)
              Director                                          10% Owner
   X       Officer (give title                            Other (specify below)
                           below)
                                    Vice President Development
 
3.    I.R.S. or Social Security Number of Reporting Person (Voluntary)
 
 
7.    Individual or Joint/Group Filing (Check Applicable Line)
           X     Form Filed by One Reporting Person
                   Form Filed by More than One Reporting Person

 
Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
 
1. Title of Security
    (Instr. 3)
2. Transaction
    Date
    (Month/
    Day/
    Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A)
    or Disposed of (D)
    (Instr. 3, 4 and 5)
5. Amount of
    Securities
    Beneficially
    Owned at
    End of
    Month
    (Instr. 3
    and 4)
6. Ownership
    Form: Di-
    rect (D) or
    Indirect (I)
    (Instr. 4)
7. Nature of
    Indirect
    Beneficial
    Ownership
    (Instr. 4)
    Code V Amount (A) or (D) Price      
Class A Common Stock 8/2/00 J(1)   1,799 d N/A 0 D  
Common Stock 8/2/00 J(1)   2,404 A N/A 2,404 D  
                   
                   
                   
(1) In connection with the August 2, 2000 closing of the transactions contemplated by the Agreement and Plan of Merger (the"Merger Agreement") by and between Spartan Stores, Inc. ("Spartan"), Spartan Acquisition Corp., and Seaway Food Town, Inc. ("Seaway"), each share of Class A Common Stock, $2 par value ("Class A Stock"), was converted into one (1) share of Spartan's Common Stock, no par value ("Common Stock"). In addition, immediately prior to such closing, the Board of Directors of Spartan declared a 0.336-for-1 stock dividend on each share of Class A Common Stock outstanding immediately prior to the merger, as required by the Merger Agreement. Accordingly, each share of Class A Common Stock outstanding immediately prior to the merger has been converted into 1.336 shares of Common Stock, rounded up to the nearest whole share.
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

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Form 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
 
1. Title of Derivative Security
    (Instr. 3)
2. Conversion
    or Exercise
    Price of
    Derivative
    Security
3. Transaction
    Date
    (Month/
    Day/
    Year)
4. Transaction
    Code
    (Instr. 8)
5. Number of Deriva-
    tive Securities Ac-
    quired (A) or Dis-
    posed of (D)
    (Instr. 3, 4, and 5)
6. Date Exercisable
    and Expiration Date
    (Month/Day/Year)
       
Code
 
V
 
(A)
 
(D)
Date
Exercisable
Expiration
Date
Stock Option (Right to Buy)
$13.30
8/2/00
J (2)
 
 
1,000
5/10/00
5/10/10
Stock Option (Right to Buy)
$9.96
8/2/00
J (2)
 
1,336
 
5/10/00
5/10/10
Stock Option (Right to Buy)
$10.50 
8/2/00 
J (2) 
 
 
2,000 
 5/08/96
5/07/06 
Stock Option (Right to Buy)
$7.86 
8/2/00 
J (2) 
 
 2,672
 
  5/08/96
5/07/06  
Stock Option (Right to Buy)
$11.30
8/2/00 
J (2) 
 
 
2,000 
5/28/97  
5/27/07 
Stock Option (Right to Buy)
$8.46
8/2/00 J (2)   2,672   5/28/97 5/27/07 
Stock Option (Right to Buy)
$12.30
8/2/00 J (2)     1,000 5/13/98  5/12/08 
Stock Option (Right to Buy)
$9.21
8/2/00 J (2)   1,336   5/13/98 5/12/08
Stock Option (Right to Buy)
$13.30
8/2/00 J (2)     1,000 5/19/99 5/18/09
Stock Option (Right to Buy)
$9.96
8/2/00 J (2)   1,336   5/19/99 5/18/09
Stock Option (Right to Buy)
$8.40
8/2/00 J (2)     1,000 5/13/92 5/12/02
Stock Option (Right to Buy)
$6.29
8/2/00 J (2)   1,336   5/13/92 5/12/02
Stock Option (Right to Buy)
$8.80
8/2/00 J (2)     1,000 5/19/93 5/18/03
Stock Option (Right to Buy)
$6.59
8/2/00 J (2)   1,336   5/19/93 5/18/03
Stock Option (Right to Buy)
$9.30
8/2/00 J (2)     1,000 5/18/94 5/17/04
Stock Option (Right to Buy)
$6.96
8/2/00 J (2)   1,336   5/19/94 5/17/04
Stock Option (Right to Buy)
$10.00
8/2/00 J (2)     2,000 5/17/95 5/16/05
Stock Option (Right to Buy)
$7.49
8/2/00 J (2)   2,672   5/17/95 5/16/05

7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)
8. Price of Deriv-
    ative Security
    (Instr. 5)
9. Number of Deriv-
    ative Securities
    Beneficially owned
    at End of Month
    (Instr. 4)
10. Ownership Form
     of Derivative Sec-
      urity: Direct (D)
      or Indirect (I)
      (Instr. 4)
11. Nature of
      Indirect Bene-
      ficial Ownership
      (Instr. 4)
 
Title
Amount or
Number of
Shares
       
Class A Common
 1,000
N/A
0
D
 
Common Stock
1,336
N/A
1,336
D
 
Class A Common
2,000 
 N/A
 0
 D
 
Common Stock 
2,672 
 N/A 
2,672 
 D 
 
Class A Common 
2,000 
 N/A 
 0 
 D 
 
Common Stock 
2,672 
 N/A
2,672 
 D
 
Class A Common
1,000
 N/A
 0 
 D
 
Common Stock 
1,336
 N/A
1,336
 D
 
Class A Common
1,000
 N/A
0
D
 
Common Stock 
1,336
 N/A
1,336
D
 
Class A Common
1,000
 N/A
0
D
 
Common Stock 
1,336
 N/A
1,336
D
 
Class A Common
1,000
 N/A
0
D
 
Common Stock 
1,336
 N/A
1,336
D
 
Class A Common
1,000
N/A
0
D
 
Common Stock 
1,336
N/A
1,336
D
 
Class A Common
2,000
N/A
0
D
 
Common Stock 
2,672
N/A
2,672
D
 
Explanation of Responses:
(2) As described on the previous page, each share of Class A Common Stock outstanding immediately prior to the merger involving Spartan and Seaway has been converted into 1.336 shares of Common Stock, rounded up to the nearest whole share. Accordingly, each option to purchase a share of Class A Common Stock that was outstanding immediately prior to the merger was converted into an option to purchase 1.336 shares of Common Stock (rounded up to the nearest whole share) and the per-share exercise price of each such option was reduced by dividing such price by 1.336 and rounding the result to the nearest whole cent.

**Intentional misstatements or omissions of facts constitute   /s/ Charles B. Fosnaugh*   September 11, 2000
    Federal Criminal Violations.   **Signature of Reporting Person   Date
    See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).   *Alex J. DeYonker
Attorney-in-Fact  
   

Note: File three copies of this Form, one of which must be manually signed.
          If space provided is insufficient, see Instruction 6 for procedure.

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LIMITED POWER OF ATTORNEY

                    The undersigned does hereby constitute and appoint ALEX J. DEYONKER and TIMOTHY L. HORNER, or any one or more of them, his or her true and lawful attorneys and agents to do any and all acts and things and to execute and file any and all instruments that such attorneys and agents, or any of them, may consider necessary or advisable to enable the undersigned (in his or her individual capacity or in a fiduciary or other capacity) to comply with the Securities Exchange Act of 1934, as amended (the "Act"), and any requirements of the Securities and Exchange Commission in respect thereof, in connection with the preparation, execution and filing of any report or statement of beneficial ownership or changes in beneficial ownership of securities of SPARTAN STORES, INC. (the "Company") that the undersigned (in his or her individual capacity or in a fiduciary or other capacity) may be required to file pursuant to Sections 13 or 16 of the Act including, without limitation, full power and authority to sign the undersigned's name, in his or her individual capacity or in a fiduciary or other capacity, to any report, application or statement on Form ID, Forms 3, 4 or 5, Schedules 13D or 13G, or to any amendments or any successor forms thereto, or any form or forms adopted by the Securities and Exchange Commission in lieu thereof or in addition thereto, hereby ratifying and confirming all that such attorneys and agents, or any of them, shall do or cause to be done by virtue hereof.

                    The undersigned agrees that the attorneys-in-fact named herein may rely entirely on information furnished orally or in writing by the undersigned to such attorneys-in-fact. The undersigned also agrees to indemnify and hold harmless the attorneys-in-fact against any losses, claims, damages or liabilities (or actions in respect thereof) that arise out of or are based upon any untrue statement or omission of necessary fact in the information provided by the undersigned to the attorneys-in-fact for purposes of executing, acknowledging, delivering or filing any such forms, or any amendments or any successor forms thereto, or any form or forms adopted by the Securities and Exchange Commission in lieu thereof or in addition thereto.

                    This authorization shall be in addition to all prior authorizations to act for the undersigned with respect to securities of the Company in these matters.


Date: July 12, 2000

/s/ Charles B. Fosaugh


Charles B. Fosaugh

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