-----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, RrO2c8vXk52F8dTU1ChjOi5L0LDToaLs1WhVr9YPG6LfOXTzn1L/Bm4JgT43ieB4 rao/opeLBwiy9B/97erlTg== 0000879554-01-500038.txt : 20010823 0000879554-01-500038.hdr.sgml : 20010823 ACCESSION NUMBER: 0000879554-01-500038 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010131 FILED AS OF DATE: 20010822 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-19649 FILM NUMBER: 1720776 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: DORSCH DANIEL J CENTRAL INDEX KEY: 0001101862 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4/A BUSINESS ADDRESS: STREET 1: 14255 49TH ST. N. BLDG 1 CITY: CLEARWATER STATE: FL ZIP: 33762 BUSINESS PHONE: 8055633644 MAIL ADDRESS: STREET 1: 14255 49TH ST. N. BLDG CITY: CLEARWATER STATE: FL ZIP: 33762 4/A 1 dorschform4d.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: DANIEL J. DORSCH

CENTRAL INDEX KEY: 0001101862

STANDARD INDUSTRIAL CLASSIFICATION:

RELATIONSHIP: DIRECTOR/CEO

FILING VALUES:

FORM TYPE: 4A

BUSINESS ADDRESS:

STREET 1: 14255 49TH STREET NORTH

STREET 2: BUILDING 1

CITY: CLEARWATER

STATE: FL

ZIP: 33762

 

 

 

 

MAIL ADDRESS:

STREET 1: 6326 MACLAURIN DRIVE

STREET 2:

CITY: TAMPA

STATE: FL

ZIP: 33647

 

 

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

01/05/01

P

100,000

A

$1.2812

 
114,285

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

Stock Options (Right to Buy)

$3.9375

01/02/01

A

A

01/02/01

01/02/11

C

1,667

    

D

  
Stock Options (Right to Buy)

$1.2812

01/02/01

P

D

12/14/99

12/14/09

C

100,000

  

501,667

D

  
                         

 

Explanation of Responses:

All stock is part of an Employee Stock Option Plan.

 

 

 

______________________________________________ ______________

Signature of Reporting Person Date

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