0001140361-12-051715.txt : 20121218 0001140361-12-051715.hdr.sgml : 20121218 20121218165516 ACCESSION NUMBER: 0001140361-12-051715 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121214 FILED AS OF DATE: 20121218 DATE AS OF CHANGE: 20121218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hatchell Dennis G CENTRAL INDEX KEY: 0001542755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25813 FILM NUMBER: 121271935 MAIL ADDRESS: STREET 1: 305 GREGSON DRIVE CITY: CARY STATE: NC ZIP: 27511 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PANTRY INC CENTRAL INDEX KEY: 0000915862 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 561574463 STATE OF INCORPORATION: DE FISCAL YEAR END: 0924 BUSINESS ADDRESS: STREET 1: 305 GREGSON DRIVE STREET 2: PO BOX 8019 CITY: CARY STATE: NC ZIP: 27511 BUSINESS PHONE: 9197746700 MAIL ADDRESS: STREET 1: 305 GREGSON DRIVE STREET 2: PO BOX 8019 CITY: CARY STATE: NC ZIP: 27511 4 1 doc1.xml FORM 4 X0306 4 2012-12-14 0 0000915862 PANTRY INC PTRY 0001542755 Hatchell Dennis G 305 GREGSON DRIVE CARY NC 27511 0 1 0 0 President and CEO Common Stock 2012-12-14 4 A 0 72716 0 A 139127 D Common Stock 2012-12-14 4 A 0 94900 0 A 234027 D STOCK OPTIONS (RIGHT TO BUY) 11.41 2012-12-14 4 A 0 58439 0 A 2013-12-14 2019-12-14 Common Stock 58439 83110 D Time-based restricted stock vests in three equal, annual installments beginning on December 14, 2013. Performance-based restricted stock vests, subject to achievement of performance criteria, over a three year period. Option vests and becomes exercisable in three equal, annual installments beginning on December 14, 2013. Dennis G. Hatchell 2012-12-18