-----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, Jvz3WvXldDFkPwVFOP8okJFNSCbQCSc80Mb9vtfbcrCMkOuNqj11GsCthfI6k6eq wBYa3j0sc5qcfuph+hildA== 0000879554-01-500018.txt : 20010530 0000879554-01-500018.hdr.sgml : 20010530 ACCESSION NUMBER: 0000879554-01-500018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010331 FILED AS OF DATE: 20010529 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHECKERS DRIVE IN RESTAURANTS INC /DE CENTRAL INDEX KEY: 0000879554 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 581654960 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-19649 FILM NUMBER: 1649344 BUSINESS ADDRESS: STREET 1: PO BOX 18800 CITY: CLEARWATER STATE: FL ZIP: 33762 BUSINESS PHONE: 7275192000 MAIL ADDRESS: STREET 1: 14255 49TH STREET NORTH BLDG I CITY: CLEARWATER STATE: FL ZIP: 33762 COMPANY DATA: COMPANY CONFORMED NAME: SIROIS KEITH E CENTRAL INDEX KEY: 0001137969 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 14255 49TH STREET N BLDG 1 CITY: CLEARWATER STATE: FL ZIP: 33762 BUSINESS PHONE: 7275192000 MAIL ADDRESS: STREET 1: 14255 49TH STREET N BLDG 1 CITY: CLEARWATER STATE: FL ZIP: 33762 4 1 siroisform4a.htm <SEC-DOCUMENT>0001093976-00-000002-index

BUSINESS ADDRESS:

STREET 1: 14255 49TH STREET NORTH BLDG I

CITY: CLEARWATER

STATE: FL

ZIP: 33762

BUSINESS PHONE: 7275192000

 

MAIL ADDRESS:

STREET 1: 14255 49TH STREET NORTH, BLDG I

CITY: CLEARWATER

STATE: FL

ZIP: 33762

STATEMENT FOR MONTH/YEAR: JANUARY 2001

COMPANY DATA:

COMPANY CONFORMED NAME: KEITH E. SIROIS

CENTRAL INDEX KEY: 0001137969

STANDARD INDUSTRIAL CLASSIFICATION:

RELATIONSHIP: OFFICER

FILING VALUES:

FORM TYPE: 4

BUSINESS ADDRESS:

STREET 1: 14255 49TH STREET NORTH

STREET 2: BUILDING 1

CITY: CLEARWATER

STATE: FL

ZIP: 33762

 

 

 

 

MAIL ADDRESS:

STREET 1: 1104 FORDHAM WAY

STREET 2:

CITY: WESTMONT

STATE: IL

ZIP: 60559

 

 

Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

 

Title of Non-Derivative Security

Transaction Date

Transaction Code

 

Security Amount

Securities Acquired/ Disposed (A/D)

 

Securities Price

Amount Beneficially Owned at End of the Month

Ownership Direct or Indirect

 

 

Nature of Indirect Beneficial Ownership

Common stock

03/29/01

P

70.6433

A

$6.0000

 
70.6433

D

  

 

 

 

 

 

 

 

 

 

 

 

 

Table II Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

 

Title of Derivative Security

Conversion or Exercise Price

Transaction Date
Transaction Code

Securities Acquired/Disposed

Date Exercisable

Expiration Date

Title

Number of Shares
Price of Security
Number Beneficially Owned End of Month

Ownership Direct or Indirect

Nature of Indirect Beneficial Ownership
                         
                         

 

Explanation of Responses:

This stock is part of an Employee Stock Purchase Plan.

 

 

 

______________________________________________ ______________

Signature of Reporting Person Date

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