-----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, GLuy6+ZhIA0rWOs91erDlImSMWh+AbaQLV/rkYke4CyN85FmbdyDjesra2AfSZYh HQr4C8BAADSiGxS8DXtRAg== 0000105418-04-000046.txt : 20041104 0000105418-04-000046.hdr.sgml : 20041104 20041104123121 ACCESSION NUMBER: 0000105418-04-000046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041102 FILED AS OF DATE: 20041104 DATE AS OF CHANGE: 20041104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WASSERMAN ELLEN W P CENTRAL INDEX KEY: 0000920914 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05039 FILM NUMBER: 041118711 BUSINESS ADDRESS: STREET 1: 1000 SOUTH SECOND STREET STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801-0471 BUSINESS PHONE: 7172864571 ISSUER: 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 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-02 0 0000105418 WEIS MARKETS INC WMK 0000920914 WASSERMAN ELLEN W P 1000 SOUTH SECOND STREET P.O. BOX 471 SUNBURY PA 17801-0471 0 0 1 0 Common Stock 2004-11-02 2004-11-02 4 J 0 1358000 0 D 1746424 D On November 2, 2004, Ellen W. P. Wasserman, the undersigned, exchanged 1,358,000 shares of the Common Stock of the Company for a 97% interest in EKTJ Management LLC. The undersigned has no voting or dispositive power over the shares held by EKTJ Management LLC. Mrs. Wasserman disclaims beneficial ownership as it relates to the Common Stock held in EKTJ Management LLC. /s/ Ellen W.P.Wasserman 2004-11-04 -----END PRIVACY-ENHANCED MESSAGE-----