-----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, FpXGwcnjzx6s9N5z4J9raUlP4GHgDSZzNJ1ZX5l60qonxBQqMu5RoBBSw8R7BWzJ HvtpUlQWd0uRyGYEuMfAfQ== 0000888455-04-000166.txt : 20041103 0000888455-04-000166.hdr.sgml : 20041103 20041103180326 ACCESSION NUMBER: 0000888455-04-000166 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041101 FILED AS OF DATE: 20041103 DATE AS OF CHANGE: 20041103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARTIN KEITH G CENTRAL INDEX KEY: 0001188661 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23574 FILM NUMBER: 041117473 BUSINESS ADDRESS: BUSINESS PHONE: 8584537845 MAIL ADDRESS: STREET 1: 9125 RECHO ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PETCO ANIMAL SUPPLIES INC CENTRAL INDEX KEY: 0000888455 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990] IRS NUMBER: 330479906 STATE OF INCORPORATION: DE FISCAL YEAR END: 0128 BUSINESS ADDRESS: STREET 1: 9125 REHCO RD CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 6194537845 MAIL ADDRESS: STREET 1: 9125 REHCO RD CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2004-11-01 0 0000888455 PETCO ANIMAL SUPPLIES INC PETC 0001188661 MARTIN KEITH G 9125 REHCO ROAD SAN DIEGO CA 92121 0 1 0 0 SVP, Operations Common Stock 2004-11-01 4 X 0 4000 0.605 A 8000 D Common Stock 2004-11-01 4 S 0 4000 35.6674 D 4000 D Non-Qualified Stock Option (right to buy) 0.605 2004-11-01 4 X 0 4000 0 D 2002-02-21 2011-08-23 Common Stock 4000 93212 D Sold in accordance with the person's previously established Rule 10b5-1 Sales Plan. Keith G Martin 2004-11-03 -----END PRIVACY-ENHANCED MESSAGE-----