-----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, AiZj0WgyUGXrw0ZZKo+Ae+mdaxzUjvQGhKBa54n5mHrZKSaHXYcoQObeGWBfMGVk xNkB7QqqyiA+l/g7rEH+kg== 0001246360-04-001124.txt : 20041217 0001246360-04-001124.hdr.sgml : 20041217 20041217154054 ACCESSION NUMBER: 0001246360-04-001124 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041216 FILED AS OF DATE: 20041217 DATE AS OF CHANGE: 20041217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH STERLING R CENTRAL INDEX KEY: 0001232418 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15007 FILM NUMBER: 041211358 BUSINESS ADDRESS: BUSINESS PHONE: 2143579588 MAIL ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 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 4 1 form.xml PRIMARY DOCUMENT X0202 4 2004-12-16 false 0000943823 DAVE & BUSTERS INC DAB 0001232418 SMITH STERLING R 2481 MANANA DRIVE DALLAS TX 75220 false true false false Sr VP, Operations Common Stock 2004-12-16 4 M false 3250 11 A 3250 D Common Stock 2004-12-16 4 M false 6450 12.17 A 9700 D Common Stock 2004-12-16 4 S false 9500 18.3 D 200 D Common Stock 2004-12-16 4 S false 100 18.37 D 100 D Common Stock 2004-12-16 4 S false 100 18.39 D 0 D 1996 NQ Grant 11 2004-12-16 4 M false 3250 11 D 1997-04-01 2006-04-01 Common Stock 3250 500 D Employee Stock Option 12.17 2004-12-16 4 M false 6450 12.17 D 1996-06-28 2005-06-28 Common Stock 6450 9300 D Sterling Ray Smith 2004-12-17 Melissa Card 2004-12-17 -----END PRIVACY-ENHANCED MESSAGE-----