0001140361-16-091044.txt : 20161229 0001140361-16-091044.hdr.sgml : 20161229 20161229142349 ACCESSION NUMBER: 0001140361-16-091044 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160517 FILED AS OF DATE: 20161229 DATE AS OF CHANGE: 20161229 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BOWL AMERICA INC CENTRAL INDEX KEY: 0000013573 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 540646173 STATE OF INCORPORATION: MD FISCAL YEAR END: 0628 BUSINESS ADDRESS: STREET 1: 6446 EDSALL RD CITY: ALEXANDRIA STATE: VA ZIP: 22312 BUSINESS PHONE: 7039416300 MAIL ADDRESS: STREET 1: P O BOX 1288 CITY: SPRINGFIELD STATE: VA ZIP: 22151 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HULL NANCY CENTRAL INDEX KEY: 0001611841 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-07829 FILM NUMBER: 162074703 MAIL ADDRESS: STREET 1: C/O BOWL AMERICA INCORPORATED STREET 2: 6446 EDSALL ROAD CITY: ALEXANDRIA STATE: VA ZIP: 22312 4/A 1 doc1.xml FORM 4/A X0306 4/A 2016-05-17 2016-05-19 0 0000013573 BOWL AMERICA INC BWL/A 0001611841 HULL NANCY C/O BOWL AMERICA INCORPORATED 6446 EDSALL ROAD ALEXANDRIA VA 22312 1 0 0 0 Class A Common Stock 2014-08-01 4 W 0 14106 0 A 214819 I Trustee/Personal Representative Class B Common Stock 2014-08-01 4 W 0 8048 0 A 229418 I Trustee/Personal Representative Class A Common Stock 2016-05-17 5 G 0 8464 0 D 206355 I Trustee/Personal Representative Class B Common Stock 2016-05-17 5 G 0 4829 0 D 224589 I Trustee/Personal Representative Class A Common Stock 14332 D Class B Common Stock 8048 D This amended Form 4 amends, restates and supersedes, in its entirety, the Form 4 filed on May 19, 2016. /s/ John J. Wolfel, Attorney-in-Fact for Nancy Hull 2016-12-29