-----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, EXErMqjypud1ao6Lrp48459jY1Ua/iBPdc0SyAfB+Ij7KLycrK4D3fNVU24bxaOr kC9T9nDhEaw3sWAozmvRKg== 0001181431-04-058046.txt : 20041210 0001181431-04-058046.hdr.sgml : 20041210 20041210173657 ACCESSION NUMBER: 0001181431-04-058046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041206 FILED AS OF DATE: 20041210 DATE AS OF CHANGE: 20041210 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: 0630 BUSINESS ADDRESS: STREET 1: 28 EXECUTIVE PARK STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 9492601600 MAIL ADDRESS: STREET 1: 28 EXECUTIVE PARK STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 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: 041197345 BUSINESS ADDRESS: STREET 1: 2144 MICHELSON DR CITY: IRVINE STATE: CA ZIP: 92612-1304 BUSINESS PHONE: 9492606732 4 1 rrd60983.xml FORM 4 X0202 4 2004-12-06 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) 4.645 2004-12-06 4 A 0 15000 0 A 2014-12-06 Common Stock 15000 63750 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 2004-12-10 -----END PRIVACY-ENHANCED MESSAGE-----