0001209191-10-038604.txt : 20100715 0001209191-10-038604.hdr.sgml : 20100715 20100715134147 ACCESSION NUMBER: 0001209191-10-038604 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100712 FILED AS OF DATE: 20100715 DATE AS OF CHANGE: 20100715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fortman Richard E. CENTRAL INDEX KEY: 0001431650 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11313 FILM NUMBER: 10953922 MAIL ADDRESS: STREET 1: 6307 CARPINTERIA AVENUE, SUITE A CITY: CARPINTERIA STATE: CA ZIP: 93013-2901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CKE RESTAURANTS INC CENTRAL INDEX KEY: 0000919628 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 330602639 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 6307 CARPINTERIA AVENUE STREET 2: SUITE A CITY: CARPINTERIA STATE: CA ZIP: 93013 BUSINESS PHONE: (805) 745-7500 MAIL ADDRESS: STREET 1: 6307 CARPINTERIA AVENUE STREET 2: SUITE A CITY: CARPINTERIA STATE: CA ZIP: 93013 4 1 c03513_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2010-07-12 1 0000919628 CKE RESTAURANTS INC CKR 0001431650 Fortman Richard E. 6307 CARPINTERIA AVENUE SUITE A CARPINTERIA CA 93013 0 1 0 0 EVP, Restaurant Operations Common Stock 2010-07-12 4 D 0 22361 D 0 D Stock Option (Right to Buy) 11.10 2010-07-12 4 D 0 25000 D 2003-06-18 2012-06-18 Common Stock 25000 0 D Stock Option (Right to Buy) 5.75 2010-07-12 4 D 0 10000 D 2004-06-10 2013-06-10 Common Stock 10000 0 D Stock Option (Right to Buy) 11.26 2010-07-12 4 D 0 25000 D 2005-06-14 2014-06-14 Common Stock 25000 0 D Stock Option (Right to Buy) 13.15 2010-07-12 4 D 0 25000 D 2006-11-10 2015-11-10 Common Stock 25000 0 D Stock Option (Right to Buy) 19.13 2010-07-12 4 D 0 20000 D 2007-10-12 2016-10-12 Common Stock 20000 0 D Stock Option (Right to Buy) 11.34 2010-07-12 4 D 0 20000 D 2009-01-08 2018-01-08 Common Stock 20000 0 D Stock Option (Right to Buy) 8.56 2010-07-12 4 D 0 20000 D 2010-01-08 2019-01-08 Common Stock 20000 0 D Stock Option (Right to Buy) 8.065 2010-07-12 4 D 0 20000 D 2011-01-08 2020-01-08 Common Stock 20000 0 D Reporting person also beneficially owned non-derivative securities comprised of a total of 2,105 shares indirectly by 401(k) plan. Disposed of pursuant to that certain Agreement and Plan of Merger, dated April 18, 2010, by and among Columbia Lake Acquisition Holdings, Inc., Columbia Lake Acquisition Corp., and CKE Restaurants, Inc. in exchange for cash consideration equal to $12.55 per share on the effective date of the merger. This transaction is exempt under Rule 16b-3(e). Option cancelled pursuant to the merger in exchange for cash consideration equal to the difference between $12.55 and the exercise price of the Option multiplied by the number of Options canceled. This transaction is exempt under Rule 16b-3(e). /s/ Hilary Burkemper, as Attorney-in-Fact for Richard E. Fortman 2010-07-14