0001140361-12-042747.txt : 20121003 0001140361-12-042747.hdr.sgml : 20121003 20121003164106 ACCESSION NUMBER: 0001140361-12-042747 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121002 FILED AS OF DATE: 20121003 DATE AS OF CHANGE: 20121003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davenport Glenn A. CENTRAL INDEX KEY: 0001478328 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-25225 FILM NUMBER: 121127181 MAIL ADDRESS: STREET 1: TEAM HEALTH HOLDINGS STREET 2: 1900 WINSTON ROAD, SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 37919 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CRACKER BARREL OLD COUNTRY STORE, INC CENTRAL INDEX KEY: 0001067294 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 620812904 FISCAL YEAR END: 0729 BUSINESS ADDRESS: STREET 1: PO BOX 787 CITY: LEBANON STATE: TN ZIP: 370880787 BUSINESS PHONE: 6154439217 MAIL ADDRESS: STREET 1: PO BOX 787 CITY: LEBANON STATE: TN ZIP: 37087 FORMER COMPANY: FORMER CONFORMED NAME: CBRL GROUP INC DATE OF NAME CHANGE: 19980730 4 1 doc1.xml FORM 4 X0306 4 2012-10-02 0 0001067294 CRACKER BARREL OLD COUNTRY STORE, INC CBRL 0001478328 Davenport Glenn A. 305 HARTMANN DRIVE LEBANON TN 37087 1 0 0 0 Common Stock 2012-10-02 4 P 0 1000 67.50 A 1000 D Glenn A. Davenport by Michael J. Zylstra, Attorney-in-fact 2012-10-03