0001209191-12-018059.txt : 20120313 0001209191-12-018059.hdr.sgml : 20120313 20120313203744 ACCESSION NUMBER: 0001209191-12-018059 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120309 FILED AS OF DATE: 20120313 DATE AS OF CHANGE: 20120313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RIVERA RICHARD E CENTRAL INDEX KEY: 0001051795 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03657 FILM NUMBER: 12688721 MAIL ADDRESS: STREET 1: 5900 LAKE ELLENOR DRIVE CITY: ORLANDO STATE: FL ZIP: 32809 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WINN DIXIE STORES INC CENTRAL INDEX KEY: 0000107681 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 590514290 STATE OF INCORPORATION: FL FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 5050 EDGEWOOD CT CITY: JACKSONVILLE STATE: FL ZIP: 32254 BUSINESS PHONE: 9047835000 MAIL ADDRESS: STREET 1: 5050 EDGEWOOD CT CITY: JACKSONVILLE STATE: FL ZIP: 32254 FORMER COMPANY: FORMER CONFORMED NAME: WINN & LOVETT GROCERY INC DATE OF NAME CHANGE: 19710927 FORMER COMPANY: FORMER CONFORMED NAME: WINN & LOVETT GROCERY CO DATE OF NAME CHANGE: 19671119 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-03-09 1 0000107681 WINN DIXIE STORES INC WINN 0001051795 RIVERA RICHARD E 5050 EDGEWOOD COURT JACKSONVILLE FL 32254 1 0 0 0 Common Stock 2012-03-09 4 D 0 55420 9.50 D 0 D On March 9, 2012 Winn-Dixie Stores, Inc. was acquired by BI-LO, LLC with BI-LO paying $9.50 for each share of Winn-Dixie common stock outstanding (the Merger). Dispositions by reporting person in the Merger were approved in advance by the Winn-Dixie board of directors. In connection with the terms of the Merger, restricted stock units held by reporting person were converted into the $9.50 per share merger consideration. Timothy L. Williams, as attorney-in-fact 2012-03-13