-----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, D7nZMe3s624iRfhnVNrzRgq3ZaHZ0aVZboSUR2IFXJLOAE08QtELkoOVsyGSjn3e MBG8hNeous8CmzQo3bpg0w== 0001209191-04-008559.txt : 20040211 0001209191-04-008559.hdr.sgml : 20040211 20040211133407 ACCESSION NUMBER: 0001209191-04-008559 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040210 FILED AS OF DATE: 20040211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLER JACK W CENTRAL INDEX KEY: 0001235156 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10398 FILM NUMBER: 04585298 BUSINESS ADDRESS: STREET 1: C/O GIANT INDUSTRIES, INC., STREET 2: 23733 N. SCOTTSDALE RD. CITY: SCOTTSDALE STATE: AZ ZIP: 85255 BUSINESS PHONE: 4805858888 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GIANT INDUSTRIES INC CENTRAL INDEX KEY: 0000856465 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 860642718 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 23733 N SCOTTSDALE RD CITY: SCOTTSDALE STATE: AZ ZIP: 85255 BUSINESS PHONE: 4805858888 MAIL ADDRESS: STREET 1: 23733 N SCOTTSDALE RD CITY: SCOTTSDALE STATE: AZ ZIP: 85255 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-02-10 0 0000856465 GIANT INDUSTRIES INC GI 0001235156 KELLER JACK W GIANT INDUSTRIES, INC. 23733 N. SCOTTSDALE RD. SCOTTSDALE AZ 85255 0 1 0 0 President, Phoenix Fuel SBU Common Stock 2004-02-10 4 M 0 12000.0000 2.8500 A 12000.0000 D Common Stock 2466.0000 I See footnote Option (Right to Buy) 2.8500 2004-02-10 4 M 0 12000.0000 2.8500 D 2003-12-11 2012-12-10 Common Stock 12000.0000 29500.0000 D Represents shares held by the Company's 401(k) plan that have been allocated to Mr. Keller's account as of February 9, 2004. /s/ Jack W. Keller 2004-02-11 -----END PRIVACY-ENHANCED MESSAGE-----