-----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, HAACOKRdZAa6H2YcEh37BBRHuPbYUK/iQjFvRkopsXPy9t2m62WvIc/JYup8BeUx weyGy8qH9WVm3fCDP+SFlQ== 0001179110-05-012204.txt : 20050613 0001179110-05-012204.hdr.sgml : 20050611 20050613174932 ACCESSION NUMBER: 0001179110-05-012204 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050609 FILED AS OF DATE: 20050613 DATE AS OF CHANGE: 20050613 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: MALUGEN JOE T CENTRAL INDEX KEY: 0001234621 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24548 FILM NUMBER: 05893184 MAIL ADDRESS: STREET 1: 900N WEST MAIN STREET CITY: DOTHAN STATE: AL ZIP: 36301 4 1 edgar.xml FORM 4 - X0202 4 2005-06-09 0 0000925178 MOVIE GALLERY INC MOVI 0001234621 MALUGEN JOE T 282 LAKEPOINT ROAD ALFORD FL 32420 1 1 1 0 Chairman, CEO, President Common Stock 2005-06-09 4 A 0 10000 .001 A 4679356 D These shares represent restricted stock awarded to the Reporting Person under the Movie Gallery, Inc. 2003 Stock Plan at a Purchase price equal to the par value of the Issuer's Common Stock which shares are subject to restrictions on transfer and forfeiture upon failure to attain specific performance objectives by the end of the Issuer's 2005 fiscal year. S. Page Todd, as Attorney-in-fact 2005-06-13 -----END PRIVACY-ENHANCED MESSAGE-----