-----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, Rxtd096zkJRMAPFJKn6E3IL8WDmCiScZPrSfSn6CiNCCNRy/JHY8CbqKuHWIxn65 cfPO8emw0d053mNoNLV4XA== 0001209191-04-013884.txt : 20040303 0001209191-04-013884.hdr.sgml : 20040303 20040303114932 ACCESSION NUMBER: 0001209191-04-013884 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040201 FILED AS OF DATE: 20040303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORLEY JAMES W CENTRAL INDEX KEY: 0000947824 STATE OF INCORPORATION: MO FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-15007 FILM NUMBER: 04645074 BUSINESS ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 BUSINESS PHONE: 214-357-9588 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DAVE & BUSTERS INC CENTRAL INDEX KEY: 0000943823 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 431532756 STATE OF INCORPORATION: MO FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 BUSINESS PHONE: 2143579588 MAIL ADDRESS: STREET 1: 2481 MANANA DR CITY: DALLAS STATE: TX ZIP: 75220 5/A 1 doc5a.xml FORM 5/A SUBMISSION X0201 5/A 2004-02-01 2002-04-03 0 0 0 0000943823 DAVE & BUSTERS INC DAB 0000947824 CORLEY JAMES W 6474 PEMBERTON DALLAS TX 75230 1 1 0 0 Chief Executive Officer Stock Option (right to buy) 6.1000 2001-12-14 5 A 0 50000.0000 6.1000 A 2002-12-14 2011-12-14 Common Stock 50000.0000 310000.0000 D Stock Option (right to buy) 8.6200 2001-03-30 5 A 0 50000.0000 8.6200 A 2002-03-30 2011-03-30 Common Stock 50000.0000 360000.0000 D /s/ John S. Davis Attorney-in-Fact 2004-03-03 -----END PRIVACY-ENHANCED MESSAGE-----