-----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, T963TpaY7JPPFsse6AIb9WtTxtLUoVdvPkH/UHv1QGxnocO2YJK+pGdZautYvzhL ww2cvp4fxVeOK7c0v2zMHA== 0001209191-04-036028.txt : 20040715 0001209191-04-036028.hdr.sgml : 20040715 20040715132505 ACCESSION NUMBER: 0001209191-04-036028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040715 FILED AS OF DATE: 20040715 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORRIVEAU DAVID O CENTRAL INDEX KEY: 0000947823 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15007 FILM NUMBER: 04915395 BUSINESS ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 BUSINESS PHONE: 2143579588 MAIL ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-07-15 0 0000943823 DAVE & BUSTERS INC DAB 0000947823 CORRIVEAU DAVID O 6923 STONE MEADOW DALLAS TX 75230 1 1 0 0 President Common Stock 2004-07-15 4 P 0 5000 18.5032 A 333172 D /s/ David O. Corriveau 2004-07-15 -----END PRIVACY-ENHANCED MESSAGE-----