-----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, UF04K723j3e/iznPVc41ZOw7spBArFOmTqM2ETFRJ/XQADWDgOZy0ptMPA3PRotp ppycJvhwBfj5i2IWEFD1Ew== 0000879554-04-000085.txt : 20041110 0000879554-04-000085.hdr.sgml : 20041110 20041110095908 ACCESSION NUMBER: 0000879554-04-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041108 FILED AS OF DATE: 20041110 DATE AS OF CHANGE: 20041110 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 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19649 FILM NUMBER: 041131555 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 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-08 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 Employee Stock Option (Right to Buy) 12.36 2004-11-08 4 A 0 30000 0 A 2014-11-08 Common Stock 30000 30000 D The option vests in three equal installments beginning on November 8, 2005. Brian R. Doster, as Attorney-In-Fact 2004-11-10 -----END PRIVACY-ENHANCED MESSAGE-----