X0303 4 2009-08-04 0 0000043300 GREAT ATLANTIC & PACIFIC TEA CO INC GAP 0001039441 TENGELMANN WARENHANDELSGESELLSCHAFT KG WISSOLLSTRASSE 5-43 45478 MULHEIM AN DER RUHR 2M GERMANY 0 0 1 0 0001179652 TENGELMANN VERWALTUNGS UND BETEILIGUNGS GMBH WISSOLLSTRASSE 5-43 45478 MULHEIM AN DER RUHR 2M GERMANY 0 0 1 0 0001179653 HAUB KARL ERIVAN WARDER WISSOLLSTRASSE 5-43 45478 MULHEIM AN DER RUHR 2M GERMANY 0 0 1 0 0001193939 HAUB CHRISTIAN W E 2 PARAGON DRIVE MONTVALE NJ 07645 0 0 1 0 0001258200 HAUB ERIVAN KARL WISSOLLSTRASSE 5-43 45478 MULHEIM AN DER RUHR 2M GERMANY 0 0 1 0 Series A-T Preferred Stock 5.00 2009-08-04 4 J 0 60000 0 A 2010-08-05 2016-08-01 Common Stock, $1 par value 12000000 60000 D The 8% Cumulative Convertible Preferred Stock, Series A-T, without par value, due August 1, 2016 (the "Series A-T Preferred Stock"). The Series A-T Preferred Stock has a liquidation preference of $1,000 per share and each share of Series A-T Preferred Stock is initially convertible into 200 shares of Common Stock (the "Conversion Rate"), which represents a Common Stock price per share of $5.00. The Conversion Rate is subject to change. The full right, title and ownership of the Series A-T Preferred Stock was acquired pursuant to a contribution from limited partners of Tengelmann Warenhandelsgesellschaft KG, a limited partnership organized under the laws of the Federal Republic of Germany ("Tengelmann"). Erivan Karl Haub, Christian Wilhelm Erich Haub and Karl-Erivan Warder Haub expressly declare that the filing of this statement is not an admission that they are, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of the Series A-T Preferred Stock owned by Tengelmann. The Series A-T Preferred Stock is not presently convertible into Common Stock but will become convertible on August 5, 2010, at the holder's option, subject to any limitations imposed by any stockholder approval requirements of the New York Stock Exchange. The value set forth in this field is based upon the Conversion Rate as of August 4, 2009. Karl-Ervian Warder Haub, by Christian Wilhelm Erich Haub (Attorney-in-Fact) 2009-08-06 Tengelmann Warenhandelsgesellschaft KG, by Tengelmann Verwaltungs-und Beteiligungs GmbH, as Managing Partner, by Christian Wilhelm Erich Haub, Co-CEO 2009-08-06 Christian Wilhelm Erich Haub 2009-08-06 Tenglemann Verwaltungs und Beteiligungs GMBH, by Christian Wilhelm Erich Haub, Co-CEO 2009-08-06 Erivan Karl Haub, by Christian Wilhelm Haub (Attorney-in-Fact) 2009-08-06