-----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, IFgBNOoiz14HbGr+yyA1Ts81h93vqJ3rhan1VZgIRlwdrxdZMCWKEOWUjgJkldDc Wq7wdbL+wfXOwMn+78RiBw== 0001181431-04-055033.txt : 20041124 0001181431-04-055033.hdr.sgml : 20041124 20041124150723 ACCESSION NUMBER: 0001181431-04-055033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041119 FILED AS OF DATE: 20041124 DATE AS OF CHANGE: 20041124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZABORSKI DAVIE CENTRAL INDEX KEY: 0001241834 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25813 FILM NUMBER: 041166989 MAIL ADDRESS: STREET 1: C/O PANTRY INC STREET 2: PO BOX 1410 1801 DOUGLAS DR CITY: SANFORD STATE: NC ZIP: 27330 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: 0930 BUSINESS ADDRESS: STREET 1: 1801 DOUGLAS DR STREET 2: PO BOX 1410 CITY: SANFORD STATE: NC ZIP: 27330 BUSINESS PHONE: 9197746700 MAIL ADDRESS: STREET 1: 1801 DOUGLAS DR STREET 2: PO BOX 1410 CITY: SANFORD STATE: NC ZIP: 27330 4 1 rrd59229.xml X0202 4 2004-11-19 0 0000915862 PANTRY INC PTRY 0001241834 ZABORSKI DAVIE 1801 DOUGLAS DRIVE SANFORD NC 27331 0 1 0 0 VP Marketing Stock Option (right to buy) 26.77 2004-11-19 4 A 0 38000 0 A 2005-11-19 2011-11-19 Common Stock 38000 38000 D Option vests and becomes exercisable in three equal, annual installments beginning November 19, 2005. /s/ David M. Zaborski 2004-11-24 -----END PRIVACY-ENHANCED MESSAGE-----