-----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, RAEoIZ5WQ6ljItV1ohS+yRMZqgObyX0kdI1fdHmSZzmhMgz7YvIy7MnJqUbVFDy6 Sk2DrjRPxlN/3h6g2+zoyg== 0001181431-04-058049.txt : 20041210 0001181431-04-058049.hdr.sgml : 20041210 20041210173806 ACCESSION NUMBER: 0001181431-04-058049 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: CHURM PETER CENTRAL INDEX KEY: 0000902093 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21203 FILM NUMBER: 041197349 BUSINESS ADDRESS: BUSINESS PHONE: 7147745796 MAIL ADDRESS: STREET 1: 1200 NORTH HARBOR BOULEVARD CITY: ANAHEIM STATE: CA ZIP: 92801 4 1 rrd60978.xml FORM 4 X0202 4 2004-12-06 0 0000947661 DIEDRICH COFFEE INC DDRX 0000902093 CHURM PETER 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 45000 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/ Peter Churm 2004-12-10 -----END PRIVACY-ENHANCED MESSAGE-----