-----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, UL7KZTS9aPIMEWEasXQrnqZB28MbMbCDNjlG9/Z2GOvkAMfwps5tJWTSWQHh8CqZ WARweXhQZlEfO1HdQevyEg== 0000922907-04-000062.txt : 20040206 0000922907-04-000062.hdr.sgml : 20040206 20040206173355 ACCESSION NUMBER: 0000922907-04-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040204 FILED AS OF DATE: 20040206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN ITALIAN PASTA CO CENTRAL INDEX KEY: 0000849667 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 841032638 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 4100 N MULBERRY DRIVE SUITE 200 CITY: KANSAS CITY STATE: MO ZIP: 64116 BUSINESS PHONE: 8165026000 MAIL ADDRESS: STREET 1: 4100 N MULBERRY DRIVE SUITE 200 CITY: KANSS CITY STATE: MO ZIP: 64116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POTTER DAVID B CENTRAL INDEX KEY: 0001241654 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13403 FILM NUMBER: 04575364 MAIL ADDRESS: STREET 1: 4100 N MULBERRY DRIVE SUITE 200 CITY: HILTON HEAD ISLAND STATE: SC ZIP: 29938 4 1 form4_020604ex.xml X0201 4 2004-02-04 0 0000849667 AMERICAN ITALIAN PASTA CO PLB 0001241654 POTTER DAVID B 4100 N MULBERRY DRIVE SUITE 200 HILTON HEAD ISLAND SC 29938 0 1 0 0 EVP- General Manager Class A Common Stock, par value $0.001 per share 2004-02-04 4 X 0 5000 18.50 A 6896 D Class A Common Stock, par value $0.001 per share 2004-02-04 4 S 0 5000 38.80 D 1896 D Class A Common Stock, par value $0.001 per share 2004-02-05 4 X 0 5000 18.50 A 6896 D Class A Common Stock, par value $0.001 per share 2004-02-05 4 S 0 5000 39.05 D 1896 D Class A Common Stock, par value $0.001 per share 2004-02-06 4 X 0 10000 18.50 A 11896 D Class A Common Stock, par value $0.001 per share 2004-02-06 4 S 0 6000 38.90 D 5896 D Class A Common Stock, par value $0.001 per share 2004-02-06 4 S 0 4000 38.95 D 1896 D Class A Common Stock, par value $0.001 per share 2004-02-06 4 S 0 1054 38.90 D 842 D Class A Common Stock, par value $0.001 per share 2004-02-06 4 S 0 2000 38.90 D 0 I By Children Employee Stock Option 18.50 2004-02-04 4 X 0 5000 18.50 D 2010-09-28 Class A Common Stock 5000 15000 D Employee Stock Option 18.50 2004-02-05 4 X 0 5000 18.50 D 2010-09-28 Class A Common Stock 5000 10000 D Employee Stock Option 18.50 2004-02-06 4 X 0 10000 18.50 D 2010-09-28 Class A Common Stock 10000 0 D Employee Stock Option 36.81 2012-08-27 Class A Common Stock 30000 30000 D Employee Stock Option 38.90 2012-10-23 Class A Common Stock 6500 6500 D (1) The option vests 50% on September 28, 2000, and the remainder in three equal annual installments beginning on September 28, 2001. (2) The option vests 25% on August 27, 2002, and the remainder in three equal annual installments beginning on August 27, 2003. (3) The option vests on October 23, 2002, and is exercisable on and after April 23, 2003. A) Pursuant to a Stockholders Agreement with certain stockholders of the corporation, the reporting person may be deemed to have shared voting and/or investment power over the shares of Class A Common Stock beneficially owned by persons subject to such agreement. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. David B. Potter 2004-02-06 -----END PRIVACY-ENHANCED MESSAGE-----