-----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, IMvWTc9qYiewBAqxLjPS3/Dw8qpyaxYmfMHw8mRn6gBBwj5gzxRB0eBuzGp53vAM +wQZBbJZHP7/k4CxYnW79g== 0000879554-02-000004.txt : 20020413 0000879554-02-000004.hdr.sgml : 20020413 ACCESSION NUMBER: 0000879554-02-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011231 FILED AS OF DATE: 20020109 COMPANY DATA: COMPANY CONFORMED NAME: NOYES ADAM P CENTRAL INDEX KEY: 0001137769 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 142555 49TH ST N STREET 2: BLDG I CITY: CLEARWATER STATE: FL ZIP: 33762 BUSINESS PHONE: 7275192000 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: 1934 Act SEC FILE NUMBER: 000-19649 FILM NUMBER: 2505119 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 4 1 noyesform41201.htm <SEC-DOCUMENT>0001093976-00-000002-index

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 4

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

 

( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b).
  1. Name and Address of Reporting Person

    2. ADAM P. NOYES

    13244 ROYAL GEORGE AVENUE

    ODESSA, FL 33556

    U.S.A.

     

  2. Issuer Name and Ticker or Trading Symbol

    3. CHECKERS DRIVE-IN RESTAURANTS, INC. (CHKR)

     

  3. IRS or Social Security Number of Reporting Person (Voluntary)

    4.  

     

  4. Statement for Month/Year

    5. December 2001

     

  5. If Amendment, Date of Original (Month/Year)

    6.  

     

  6. Relationship of Reporting Person(s) to Issuer (Check all applicable)

    7. ( ) Director ( ) 10% Owner ( X ) Officer (Give Title Below) ( ) Other (Specify Below)

    Vice President of Operations and Purchasing

  7. Individual or Joint/Group Filing (Check Applicable)

(X ) Form filed by One Reporting Person

( ) Form filed by More than One Reporting Person

 

SUBJECT COMPANY:

COMPANY DATA:

COMPANY CONFORMED NAME: CHECKERS DRIVE-IN RESTAURANTS, INC.

CENTRAL INDEX KEY: 0000879554

STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]

IRS NUMBER: 581654960

STATE OF INCORPORATION: DE

FISCAL YEAR END: 1231

SEC FILE NUMBER: 000-19649

BUSINESS/MAILING ADDRESS:

STREET 1: 4300 WEST CYPRESS STREET, SUITE 600

CITY: TAMPA

STATE: FL

ZIP: 33607

BUSINESS PHONE: 8132837000

 

 

 

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

12/26/01

V/P

110.94*

A

6.5000

 
365.64

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:

* Stock is part of an Employee Stock Purchase Plan.

 

______________________________________________ ______________

Signature of Reporting Person Date

 -----END PRIVACY-ENHANCED MESSAGE-----