-----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, KtdAvK7cjE1UQ925t66VOIqj5pKD+/gUkmXM4/tGnJE/2XsM1Laxq64UA6oq5b5K Qszr6WWmpGahxOrb8TR1zA== 0001179110-05-013028.txt : 20050624 0001179110-05-013028.hdr.sgml : 20050624 20050624174724 ACCESSION NUMBER: 0001179110-05-013028 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050622 FILED AS OF DATE: 20050624 DATE AS OF CHANGE: 20050624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Plotnick Lawrence E CENTRAL INDEX KEY: 0001330658 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24548 FILM NUMBER: 05915880 BUSINESS ADDRESS: BUSINESS PHONE: (503) 570-1600 MAIL ADDRESS: STREET 1: 9275 S.W. PEYTON LANE CITY: WILSONVILLE STATE: OR ZIP: 97070 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 2005-06-22 0 0000925178 MOVIE GALLERY INC MOVI 0001330658 Plotnick Lawrence E 2120 ALPINE DRIVE WEST LINN OR 97068 0 1 0 0 EVP-COO Hollywood Common Stock 10000 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 that expire over a period of four years from the date of award at the rate of 25% per year. S. Page Todd, as Attorney-in-fact 2005-06-24 -----END PRIVACY-ENHANCED MESSAGE-----