-----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, CxP5WS9YNNOPWqxbocC8fOFQwtgRolYKyqwGE761dDHaE1myxUqH8t/NX0367Nc8 edRGZRP2VfQsKLljzqNgtA== 0000105418-02-000022.txt : 20020904 0000105418-02-000022.hdr.sgml : 20020904 20020904165806 ACCESSION NUMBER: 0000105418-02-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020903 FILED AS OF DATE: 20020904 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WEIS MARKETS INC CENTRAL INDEX KEY: 0000105418 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 240755415 STATE OF INCORPORATION: PA FISCAL YEAR END: 1226 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05039 FILM NUMBER: 02756741 BUSINESS ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 BUSINESS PHONE: 570-286-4571 MAIL ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 COMPANY DATA: COMPANY CONFORMED NAME: WASSERMAN ELLEN W P CENTRAL INDEX KEY: 0000920914 OWNER FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1000 SOUTH SECOND STREET STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801-0471 BUSINESS PHONE: 7172864571 4 1 form4ewasserman.htm FORM 4 ELLEN W.P. WASSERMAN Body
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

1.  Name and Address of Reporting Person*

Wasserman         Ellen                    W.

2.  Issuer Name and Ticker or Trading Symbol

          Weis Markets, Inc. (WMK)

6. Relationship of Reporting Person(s) to Issuer     (Check all applicable)

                     
Director                        X        10% Owner

  (Last)                     (First)                  (Middle) 

3416 Garrison Farms Road

3. I.R.S.
    Identification
    Number of
    Reporting
    Person, if an
    entity
    (voluntary)

4. Statement for
    Month/Day/Year

        09/03/2002

                       Officer                                       Other
      (Give title below)                        (Specify below)


                                                                            
                               (Street)

Pikesville             MD                  21208
(City)                      (State)                        (Zip)

5. If Amendment,
    Date of Original
    (Month/Day/Year)

7. 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. Trans-
    action
    Date

    (Month/
    Day/
    Year)

2A. Deemed
      Execution
      Date,
      if any
      (Month/
      Day/
      Year)

3. Trans-
     action
     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)

6. Owner-
     ship
     Form:
     Direct
     (D) or
     Indirect (I)

7. Nature of
    Indirect
    Beneficial
    Ownership

     
Code

V

Amount
(A)
or
(D)

Price
    (Instr. 3
    and 4)
     (Instr. 4)     (Instr. 4)
 Common Stock  09/03/2002    G  V  60,000  D   3,164,424     D  
                     
                     
                     
                     

 
 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).
.
(Over)
SEC 1474 (8-02)
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FORM 4 (continued)
                                             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.Conver-
   sion
   or
   Exercise
   Price of
   Derivtive
   Security
3.Transac-
   tion
   Date
  (Month/
  Day/
  Year)
3A.Deemed
     Execu-
     tion
     Date,
     if any
     (Month/
     Day/
     Year)

4.Trans-
   action
   Code
   (Instr.8)

5.Number
   of
   Derivative
   Securities
   Acquired
   (A) or
   Disposed
   of (D)
   (Instr. 3,
   4 and 5)

6. Date Exerc-
    isable and
    Expiration
    Date
    (Month/Day/
    Year)

7. Title and
    Amount
    of Underlying
    Securities
    (Instr. 3
    and 4)

8.Price
  of
  Deriv-
  ative
  Secur-
  ity
  (Instr.5)

9. Number
  of
  derivative
  Securities
  Bene-
  ficially
  Owned
  Following
  Reported

10.Owner-
    ship
    Form of
    Deriv-
    ative
    Security
    Direct
    (D) or
11.Nature
    of
    Indirect
    Benefi-
    cial
    Owner
    ship
    (Instr.4)
                               
                               
                               
                               
                               
                               
                               
                               
                               


Explanation of Responses  
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
     See 18 U.S.C 1001 and 15 U.S.C. 78ff(a)
   /S/ Ellen W.P. Wasserman              09/04/2002   
   ** Signature of Reporting Person              Date 
   
Note:  File three copies of this Form, one of which must be manually signed.
           If space is insufficient, see Instruction 6 for procedure.
 
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Page 2   

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