-----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, GNWqYb2X13cVwdak5qp0xwJszTI+CBsGf5Rcr5dutNwzFv6k7NJt10CgQCdbKzAq 08qBhRYCW3shgv0rWb1xng== 0001179110-03-007031.txt : 20030908 0001179110-03-007031.hdr.sgml : 20030908 20030908114901 ACCESSION NUMBER: 0001179110-03-007031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030903 FILED AS OF DATE: 20030908 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MALUGEN JOE T CENTRAL INDEX KEY: 0001234621 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24548 FILM NUMBER: 03885387 MAIL ADDRESS: STREET 1: 900N WEST MAIN STREET CITY: DOTHAN STATE: AL ZIP: 36301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MOVIE GALLERY INC CENTRAL INDEX KEY: 0000925178 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-VIDEO TAPE RENTAL [7841] IRS NUMBER: 631120122 STATE OF INCORPORATION: DE FISCAL YEAR END: 0103 BUSINESS ADDRESS: STREET 1: 900 WEST MAIN STREET CITY: DOTHAN STATE: AL ZIP: 36301 BUSINESS PHONE: 3346772108 MAIL ADDRESS: STREET 1: 900 WEST MAIN STREET CITY: DOTHAN STATE: AL ZIP: 36301 4 1 edgar.xml FORM 4 - X0201 4 2003-09-03 0 0000925178 MOVIE GALLERY INC MOVI 0001234621 MALUGEN JOE T 282 LAKEPOINT ROAD ALFORD FL 32420 1 1 1 0 Chairman, CEO, President Forward Sale Contract 2003-09-03 4 J 0 1000000 D 2006-02-03 Common Stock 1000000 0 D Mr. Malugen entered into a Variable Stock Purchase Agreement on September 3, 2003 with Banque AIG, London Branch, relating to the forward sale to Banque AIG of up to one million shares of Movie Gallery, Inc. owned by him. Under the agreement, Mr. Malugen may execute transactions for up to one million shares of his stock at varying prices and has agreed to deliver the shares to Banque AIG in February 2006 (or an earlier date if the agreement is earlier terminated). The number of shares that Mr. Malugen will ultimately be required to deliver to Banque AIG for purchase will be based upon the fair market value of the shares in February 2006, but will in no event be more than one million shares. Mr. Malugen may, in the alternative, settle the agreement by delivering cash to Banque AIG rather than selling the shares. S. Page Todd, as Attorney-in-fact 2003-09-05 -----END PRIVACY-ENHANCED MESSAGE-----