-----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, DR+FKTN8s81260Tmlnvxa0EEgPq1w1R+kIV17wv/khZtPsdMb4aUWvsx/7LGbBlh nuedOed2NrDQWLjk/QtHcQ== 0000879554-04-000034.txt : 20040527 0000879554-04-000034.hdr.sgml : 20040527 20040527120504 ACCESSION NUMBER: 0000879554-04-000034 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040525 FILED AS OF DATE: 20040527 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 4300 WEST CYPRESS STREET STREET 2: SUITE 600 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 8132837000 MAIL ADDRESS: STREET 1: 4300 WEST CYPRESS STREET STREET 2: SUITE 600 CITY: TAMPA STATE: FL ZIP: 33607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIROIS KEITH E CENTRAL INDEX KEY: 0001137969 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-19649 FILM NUMBER: 04834180 BUSINESS ADDRESS: STREET 1: 4300 W. CYPRESS STREET STREET 2: SUITE 600 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 8132837000 MAIL ADDRESS: STREET 1: 4300 W. CYPRESS STREET STREET 2: SUITE 600 CITY: TAMPA STATE: FL ZIP: 33607 4/A 1 primary_doc.xml PRIMARY DOCUMENT X0202 4/A 2004-05-25 2004-05-27 0 0000879554 CHECKERS DRIVE IN RESTAURANTS INC /DE CHKR 0001137969 SIROIS KEITH E 4300 W. CYPRESS STREET SUITE 600 TAMPA FL 33607 1 1 0 0 CEO AND PRESIDENT Common Stock (Right to Buy) 10.14 2004-05-25 4 A 0 30000 0 A 2004-05-25 2014-05-25 Common Stock 30000 30000 D Subject to vesting in thirds on 5/25/05, 5/25/06 and 5/25/07. Brian R. Doster, as Attorney-In-Fact 2004-05-27 -----END PRIVACY-ENHANCED MESSAGE-----