-----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, SmEFNPzhWAX2IgtWZlGYV425bed/9ewNo3irdFIKFZ3dYD7kzspgPboxZSwEGeFX CWyTs5Ho9/5ioSvg+qfEMg== 0001179110-04-013845.txt : 20040629 0001179110-04-013845.hdr.sgml : 20040629 20040629110053 ACCESSION NUMBER: 0001179110-04-013845 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040615 FILED AS OF DATE: 20040629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jernigan Ivy M CENTRAL INDEX KEY: 0001295393 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24548 FILM NUMBER: 04887184 BUSINESS ADDRESS: BUSINESS PHONE: (334) 677-2108 MAIL ADDRESS: STREET 1: 900 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 3 1 edgar.xml FORM 3 - X0202 3 2004-06-15 0 0000925178 MOVIE GALLERY INC MOVI 0001295393 Jernigan Ivy M 802 N. CHEROKEE AVENUE DOTHAN, AL 36303 0 1 0 0 Sr. V.P. & C.F.O. Stock Options 1.4167 2004-12-19 2010-12-19 Common Stock 14063 D Stock Options 14.50 2012-03-14 Common Stock 7500 D Stock Options 20.58 2013-09-18 Common Stock 5000 D 1,875 shares became exercisable on each of 3/14/03 and 3/14/04; and 1,875 become exercisable on each of 3/14/05 and 3/14/06. 1,250 shares become exercisable on each of 9/18/04, 9/18/05, 9/18/06 and 9/18/07. S. Page Todd, as Attorney-in-fact 2004-06-28 -----END PRIVACY-ENHANCED MESSAGE-----