0001209191-13-014624.txt : 20130306 0001209191-13-014624.hdr.sgml : 20130306 20130306172047 ACCESSION NUMBER: 0001209191-13-014624 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130305 FILED AS OF DATE: 20130306 DATE AS OF CHANGE: 20130306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Drayer Ralph W CENTRAL INDEX KEY: 0001540523 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35422 FILM NUMBER: 13670586 MAIL ADDRESS: STREET 1: P.O. BOX 473 (MS-2040) CITY: MILWAUKEE STATE: WI ZIP: 53201-0473 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roundy's, Inc. CENTRAL INDEX KEY: 0001536035 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 272337996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 875 EAST WISCONSIN AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-231-5000 MAIL ADDRESS: STREET 1: 875 EAST WISCONSIN AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53202 FORMER COMPANY: FORMER CONFORMED NAME: Roundy's Parent Company, Inc. DATE OF NAME CHANGE: 20111130 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-03-05 0 0001536035 Roundy's, Inc. RNDY 0001540523 Drayer Ralph W 875 E WISCONSIN AVE. MILWAUKEE WI 53202 1 0 0 0 Common Stock, par value $0.01 2013-03-05 4 S 0 1000 6.1476 D 0 I See Footnote Common Stock, par value $0.01 41900 D The Sanders B Drayer Trust (the "Drayer Trust") is the record owner of these shares. Ralph W. Drayer is a co-trustee of the Drayer Trust, and has independent authority to vote or dispose of the shares held by the Drayer Trust. /s/ Edward G. Kitz, by power of attorney 2013-03-06