-----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, R+iCoW9wfe16D9OKt2FKXU6ndc8OYpPrn+PAs1mmTsH1ZlT0GqzxOu4MmYf9y8Ke C1Z2PxEIKfgT6I7SlW7NlA== 0001179110-05-010288.txt : 20050518 0001179110-05-010288.hdr.sgml : 20050518 20050518165301 ACCESSION NUMBER: 0001179110-05-010288 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050324 FILED AS OF DATE: 20050518 DATE AS OF CHANGE: 20050518 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cousins Keith A CENTRAL INDEX KEY: 0001295392 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-24548 FILM NUMBER: 05842289 BUSINESS ADDRESS: BUSINESS PHONE: (334) 677-2108 MAIL ADDRESS: STREET 1: 900 WEST MAIN STREET CITY: DOTHAN STATE: AL ZIP: 36301 4/A 1 edgar.xml FORM 4/A - X0202 4/A 2005-03-24 2005-03-28 0 0000925178 MOVIE GALLERY INC MOVI 0001295392 Cousins Keith A 9112 STURBRIDGE ROAD MONTGOMERY AL 36116 0 1 0 0 Exec.V.P. - Development common stock 2005-03-24 4 M 0 4062 1.4167 A 9309.95 D stock option 1.8611 2005-03-24 4 M 0 4500 0 D 2003-03-23 2009-03-23 common stock 4500 38125 D stock option 1.4167 2005-03-24 4 M 0 4062 0 D 2003-12-19 2010-12-19 common stock 4062 34063 D Includes 747.95 shares acquired by the Reporting Person under the Movie Gallery, Inc. 2003 Employee Stock Purchase Plan in March 31, 2004 and September 30, 2004. This amendment to Form 4 properly reflects this transaction as an acquisition. This amendment to Form 4 properly reflects this transaction as a disposition. S. Page Todd, as Attorney-in-fact 2005-05-18 -----END PRIVACY-ENHANCED MESSAGE-----