-----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, Lfr2rmsoOdBrh58ojgj1cn/cxQq/dlevLf+1RBFoZ7NEZa4orSF54m801FqIlpP9 4RCZTvStOm2FERgb9FkxCw== 0001179110-03-011940.txt : 20031204 0001179110-03-011940.hdr.sgml : 20031204 20031204201804 ACCESSION NUMBER: 0001179110-03-011940 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031202 FILED AS OF DATE: 20031204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOELMAN LAWRENCE CENTRAL INDEX KEY: 0001249432 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21203 FILM NUMBER: 031038909 BUSINESS ADDRESS: STREET 1: 2144 MICHELSON DR CITY: IRVINE STATE: CA ZIP: 92612-1304 BUSINESS PHONE: 9492606732 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DIEDRICH COFFEE INC CENTRAL INDEX KEY: 0000947661 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FOOD STORES [5400] IRS NUMBER: 330086628 STATE OF INCORPORATION: CA FISCAL YEAR END: 0127 BUSINESS ADDRESS: STREET 1: 2144 MICHELSON DRIVE STREET 2: STE A CITY: IRVINE STATE: CA ZIP: 9262682612 BUSINESS PHONE: 9492601600 MAIL ADDRESS: STREET 1: 2144 MICHELSON DRIVE CITY: IRVINE STATE: CA ZIP: 92612 4 1 edgar.xml FORM 4 - X0201 4 2003-12-02 0 0000947661 DIEDRICH COFFEE INC DDRX 0001249432 GOELMAN LAWRENCE 28 EXECUTIVE PARK SUITE 200 IRVINE CA 92614 1 0 0 0 Employee Stock Option (right to buy) 3.74 2003-12-02 4 A 0 15000 0 A 2013-12-02 Common Stock 15000 48750 D The options will become exercisable upon the earlier of (a) the first anniversary of the grant date or (b) immediately prior to the annual meeting of stockholders of the Company next following the grant date. /s/ Lawrence Goelman 2003-12-04 -----END PRIVACY-ENHANCED MESSAGE-----