-----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, KJ9s+BwI+68c4xVT7KKA7NkIxfWy4UG6olRHTUDaQ9htMutrQOKboovz6RYDRb9k VyOVPUyQyIISHU9wSiz/hw== 0000905729-02-000249.txt : 20021115 0000905729-02-000249.hdr.sgml : 20021115 20021115132851 ACCESSION NUMBER: 0000905729-02-000249 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021113 FILED AS OF DATE: 20021115 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: THOMAS EDWARD J CENTRAL INDEX KEY: 0001205969 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 850 76TH STREET CITY: GRAND RAPIDS STATE: MI ZIP: 49518 MAIL ADDRESS: STREET 1: 850 76TH STREET CITY: GRAND RAPIDS STATE: MI ZIP: 49518 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SPARTAN STORES INC CENTRAL INDEX KEY: 0000877422 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 380593940 STATE OF INCORPORATION: MI FISCAL YEAR END: 0329 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31127 FILM NUMBER: 02829282 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 3 1 thomas3111502.htm FORM 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

 
OMB APPROVAL

 

Washington, D.C. 20549
 
INITIAL STATEMENT OF BENEFICIAL

OMB Number                  3235-0104
Expires:              January 31, 2005
Estimated average burden
hours per response                      0.5

(Print or Type Responses)

OWNERSHIP OF SECURITIES

 
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*
 
Thomas                             Edward                                        J.
        (Last)                                        (First)                                   (Middle)		 4.    Issuer Name and Ticker or Trading Symbol
 
Spartan Stores, Inc. ("SPTN")

 
 


850 - 76th Street SW
 
                                                        (Street)

 5.    Relationship of Reporting Person(s) to Issuer
                                    (Check all applicable)
               Director                                            10% Owner
    X        Officer (give title                              Other (specify below)
                           below)
                                Vice President Retail Merchandising           
 
 Grand Rapids,               Michigan                49518

        (City)                                        (State)                                   (Zip)		 6.    If Amendment, Date of Original (Month/Day/Year)
2.   Date of Event Requiring Statement (Month/Day/Year)  
 11/13/02
 7.    Individual or Joint/Group Filing (Check Applicable Line)
           X         Form Filed by One Reporting Person
                       Form Filed by More than One Reporting Person
3.    I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
 
 		  


Table I -- Non-Derivative Securities Beneficially Owned
1. Title of Security
    (Instr. 4)		 2. Amount of Securities
    Beneficially Owned
     (Instr. 4)
 3. Ownership
    Form: Direct
     (D) or Indirect
     (I)    (Instr. 5)		 4. Nature of Indirect Beneficial
    Ownership
    (Instr. 4)
Common Stock
0
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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 5(b)(v).

 
Persons who respond to the collection of Information contained in this form are not required
to respond unless the form displays a currently valid OMB control number.
(Over)
SEC 1473 (7-02)


Form 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)  

1. Title of Derivative Security
    (Instr. 4)		 2. Date Exer-
    cisable and
    Expiration
    Date
    (Month/Day/Year)		 3. Title and Amount of Securities
    Underlying Derivative Security
    (Instr. 4)		 4. Conver-
     sion or
     Exercise
     Price of
     Deri-
     vative
     Security 		5. Owner-
     ship
     Form of
     Deriv-
     ative
     Security:
     Direct
     (D) or
     Indirect (I)
     (Instr. 5)		 6. Nature of Indirect
    Beneficial Ownership
    (Instr. 5)
  Date
Exer-
cisable 		Expira-
tion
Date 		Title
Amount
or
Number
of
Shares
     
Stock Option (Right to Buy)
6/17/03
 6/16/12 Common Stock 625
$4.33
D
   
Stock Option (Right to Buy)
6/17/04
 6/16/12 Common Stock 625
$4.33
D
   
Stock Option (Right to Buy)
6/17/05
 6/16/12 Common Stock 625
$4.33
D
   
Stock Option (Right to Buy)
6/17/06
 6/16/12 Common Stock 625
$4.33
D
   
                
               
               
               
               
               
               
               

Explanation of Responses:





   
By /s/ Edward J. Thomas  		  
   November 15, 2002  
 **Intentional misstatements or omissions of facts constitute Federal Criminal   **Signature of Reporting Person   Date
     Violations
     See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).		   Edward J. Thomas     

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

Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number.

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