SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DAKE LELAND J

(Last) (First) (Middle)
11840 VALLEY VIEW ROAD

(Street)
EDEN PRAIRIE MN 55344

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SUPERVALU INC [ SVU ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vp Merchandising Distribution
3. Date of Earliest Transaction (Month/Day/Year)
02/07/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/07/2005 F 440 D $32.97 11,841 D
Common Stock 02/07/2005 G 6,327 D $0 5,514 D
Common Stock 02/07/2005 G 6,327 A $0 44,224 I by Trust
Common Stock 2,670.5225 I by 401(k)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (Right to Buy) $20.6875 02/07/2005 M 3,200 (1) 04/06/2009 Common Stock 3,200 $0 0 D
Incentive Stock Option (Right to Buy) $23.0782 02/07/2005 M 1,400 (1) 04/08/2008 Common Stock 1,400 $0 12,600 D
Non-Qualified Stock Option (right to buy) $18.985 02/07/2005 M 8,118 05/29/2003 03/14/2010 Common Stock 8,118 $0 0 D
Non-Qualified Stock Option (right to buy) $21.4688 02/07/2005 M 1,149 05/23/2000 04/08/2006 Common Stock 1,149 $0 0 D
Non-Qualified Stock Option (right to buy) $21.4688 02/07/2005 M 3,850 05/23/2000 04/09/2007 Common Stock 3,850 $0 0 D
Non-Qualified Stock Option (right to buy) $23.365 02/07/2005 M 915 10/11/2001 04/09/2007 Common Stock 915 $0 0 D
Non-Qualified Stock Option (right to buy) $23.365 02/07/2005 M 7,240 10/11/2001 03/14/2010 Common Stock 7,240 $0 0 D
Non-Qualified Stock Option (right to buy) $25.5 02/07/2005 M 3,312 07/01/1999 04/11/2005 Common Stock 3,312 $0 0 D
Non-Qualified Stock Option (right to buy) $28.28 02/07/2005 M 3,511 08/02/2004 04/06/2009 Common Stock 3,511 $0 0 D
Non-Qualified Stock Option (right to buy) $28.28 02/07/2005 M 3,226 08/02/2004 03/14/2010 Common Stock 3,226 $0 0 D
Non-Qualified Stock Option (right to buy) $28.28 02/07/2005 M 2,200 08/02/2004 04/09/2013 Common Stock 2,200 $0 0 D
Non-Qualified Stock Option (right to buy)(2) $32.97 02/07/2005 A 979 02/07/2005 04/08/2008 Common Stock 979 $0 979 D
Non-Qualified Stock Option (right to buy)(2) $32.97 02/07/2005 A 2,007 02/07/2005 04/06/2009 Common Stock 2,007 $0 2,007 D
Explanation of Responses:
1. Vesting occurs at 20% each year beginning on the grant date and continues to the fourth anniversary of the grant date.
2. Grant to reporting person of option to purchase shares of common stock under Issuer's 2002 Stock Plan (which includes tax withholding rights) in transaction exempt under Rule 16b-3.
By: Warren E. Simpson, Attorney-in-Fact For: Leland J. Dake 02/09/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.