-----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, NBES8ghGfxCjQD4TDBjaCNM83v8d4yTwkkE+j+NN1hjjipfiEn1CLlOB0PiOMUdh JrZmVYVFRJ/MM589gPDgdg== 0000215419-05-000003.txt : 20050112 0000215419-05-000003.hdr.sgml : 20050112 20050112165042 ACCESSION NUMBER: 0000215419-05-000003 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041223 FILED AS OF DATE: 20050112 DATE AS OF CHANGE: 20050112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELLIOTT R KEITH CENTRAL INDEX KEY: 0001060570 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-11257 FILM NUMBER: 05526312 BUSINESS ADDRESS: STREET 1: 240 TRADEWIND DRIVE CITY: PALM BEACH STATE: FL ZIP: 33480 BUSINESS PHONE: 5618419245 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHECKPOINT SYSTEMS INC CENTRAL INDEX KEY: 0000215419 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] IRS NUMBER: 221895850 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 WOLF DR STREET 2: P O 188 CITY: THOROFARE STATE: NJ ZIP: 08086 BUSINESS PHONE: 856-384-2460 MAIL ADDRESS: STREET 1: 101 WOLF DRIVE CITY: THOROFARE, STATE: NJ ZIP: 08086 4/A 1 edgar.xml PRIMARY DOCUMENT X0202 4/A 2004-12-23 2004-12-23 0000215419 CHECKPOINT SYSTEMS INC CKP 0001060570 ELLIOTT R KEITH 101 WOLF DRIVE THOROFARE NJ 08086 1 0 0 0 Phantom Stock 2004-12-23 2004-12-23 4 A 0 1291.5389 17.905 A Common Stock 1291.5389 23931.2123 D 1 for 1 The shares of phantom stock become payable in common stock at the election of the reporting person, upon the reporting person's termination of service as a director. Amended Form is being filed to correct the number of phantom shares reported as acquired and beneficially owned. Additionally Phantom Shares are to be reported on Table II. This Form amends the Form 4 filed on December 27, 2004. Carol Welch p/o/a R. Keith Elliott 2005-01-12 -----END PRIVACY-ENHANCED MESSAGE-----