-----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, VGUL5LVXyncaMp1QmYVdom/LZqxZKmQ5onHksaKxxhz6dsV/oLd47bh54x5jPBAo sfFEj7NXGCVUO0oD7fyaAA== 0001179110-06-013227.txt : 20060612 0001179110-06-013227.hdr.sgml : 20060612 20060612195909 ACCESSION NUMBER: 0001179110-06-013227 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060608 FILED AS OF DATE: 20060612 DATE AS OF CHANGE: 20060612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cousins Keith A CENTRAL INDEX KEY: 0001295392 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24548 FILM NUMBER: 06901051 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 4 1 edgar.xml FORM 4 - X0202 4 2006-06-08 0 0000925178 MOVIE GALLERY INC MOVI 0001295392 Cousins Keith A 9112 STURBRIDGE ROAD MONTGOMERY AL 36116 0 1 0 0 EVP & CDO Common Stock 2006-06-08 4 A 0 25000 .001 A 41250 D Represents 25,000 shares of 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 three years from the date of award (6/8/06) at the rate of 33.33% per year. S. Page Todd, as Attorney-in-fact 2006-06-12 -----END PRIVACY-ENHANCED MESSAGE-----