3 1 form3fjsantalucia.htm FORM 3 - F.J. SANTALUCIA - WEIS MARKETS, INC. Body      
FORM 3                                        UNITED STATES SECURITIES AND EXCHANGE COMMISSION
                                                                          Washington, D.C. 20549
   OMB APPROVAL


 

                             INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
  OMB Number: 3235-0104
Expires: January 31, 2005
Estimated average burden
hours per response.. . .0.5

 
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  

 
(Print or Type Responses)

1.  Name and Address of Reporting Person*


Santalucia                 Frank                         J.

2. Date of Event Requiring Statement (Month/Day/Year)
          11/01/2002
4. Issuer Name and Ticker or Trading Symbol

                                                          Weis Markets, Inc.
                                                    NYSE Trading Symbol = WMK
  (Last)                (First)                  (Middle)

1000 South Second Street
P.O. Box 471
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
5. Relationship of Reporting Person(s) to Issurer 
                             (check all applicable)

               Director        10% Owner

        X     Officer          Other
(give title below)  (specify below)

     
Vice President IPharmacy
6. If Amendment, Date of
Original (Month/Day/Year)

                            (Street)
 
Sunbury                        PA                           17801
7. Individual or Joint/Group Filing
   
(Check Applicable Line)
    X    Form filed by One Reporting Person
           Form filed by More than One Reporting Person
   (City)                        (State)                         (Zip) Table I — Non-Derivative Securities Beneficially Owned

1.   Title of Security (Instr. 4)

2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock 0 D  
       
       
       
       
       
       

 

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.                                                                                                                            (Over)
If the form is filed by more than one reporting person, see Instruction 5(b)(v)                                                                                                                                                           SEC 1473 (7-02)

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 control number
                                                                                                                                                                                                                                                                                 Page 1 of 2 pages (Form 3)




FORM 3 (continued)                            Table II
- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)


 
1. Title of Derivative Security
     (Instr. 4)
2. Date Exercisable and
     Expiration Date
     (Month/Day/Year)

3. Title and Amount of Securities Underlying
      Derivative Security
(Instr. 4)
4. Conversion or Exercise
Price of
Derivative
Security

5. Ownership
     Form of
     Derivative
     Security:
     Direct (D)
     or
     Indirect (I)
     (Instr. 5)
6. Nature of Indirect
Beneficial Ownership
(Instr. 5)

 
Date
Exercisable

Expiration
Date
Title Amount or
Number
of
Shares


 
             


 
             


 
             


 
             


 
             


 
             


 
             

    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/ Frank J. Santalucia                                               11/01/2002         
                                                                                                                              **Signature of Reporting Person                                Date

    Note:  File three copies of this Form, one of which must be manually signed. If space provided is insufficient,
               See
    Instruction 6 for procedure.

    Potential persons who are to respond to the collection of information contained in this form are not
    required to respond unless the form displays a currently valid OMB Number.


                                                                                                                                                                                                          Page 2 of 2 pages (Form 3)