-----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, SRv+VFbybL9HL0EUWE3pAftsaOv/PK1x6dYH+kbnmKkPF9YiB92MZWYcvBScm+t5 kxTAVbA05hAXfv8i6xqEnQ== 0001014071-04-000008.txt : 20040913 0001014071-04-000008.hdr.sgml : 20040913 20040913122255 ACCESSION NUMBER: 0001014071-04-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040910 FILED AS OF DATE: 20040913 DATE AS OF CHANGE: 20040913 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLANK ARTHUR CENTRAL INDEX KEY: 0001014071 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17586 FILM NUMBER: 041026989 BUSINESS ADDRESS: STREET 1: 3290 NORTHSIDE PARKWAY STREET 2: SUITE 600 CITY: ATLANTA STATE: GA ZIP: 30327 MAIL ADDRESS: STREET 1: 3290 NORTHSIDE PARKWAY STREET 2: SUITE 600 CITY: ATLANTA STATE: GA ZIP: 30327 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STAPLES INC CENTRAL INDEX KEY: 0000791519 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS SHOPPING GOODS STORES [5940] IRS NUMBER: 042896127 STATE OF INCORPORATION: DE FISCAL YEAR END: 0127 BUSINESS ADDRESS: STREET 1: 500 STAPLES DRIVE STREET 2: P O BOX 9328 CITY: FRAMINGHAM STATE: MA ZIP: 01702 BUSINESS PHONE: 5082535000 MAIL ADDRESS: STREET 1: 500 STAPLES DR CITY: FRAMINGHAM STATE: MA ZIP: 01702 4 1 doc4.xml PRIMARY DOCUMENT X0202 4 2004-09-10 0 0000791519 STAPLES INC SPLS 0001014071 BLANK ARTHUR THE FORUM 3290 NORTHSIDE PARKWAY ATLANTA GA 30327 1 0 0 0 Staples Stock 2004-09-10 4 A 0 400 0 A 4400 D Option to Purchase 30.00 2004-09-10 4 A 0 3000 0 A 2005-09-10 2014-09-10 Staples Stock 3000 3000 D Restricted Stock vesting on September 10, 2007. Options exercisable in four annual installments beginning on date stated. See Table II, Column 2. Jack A. VanWoerkom, Attorney-in-fact 2004-09-13 -----END PRIVACY-ENHANCED MESSAGE-----