-----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, DfwlvLD+1cFNVwOFgHV0UZBCunlmydA0CXTxRu41FI1rwZn3tiAh47tqu05rOOSG xrDLwFHG65FV6iB+SKmdRQ== 0001209191-04-047394.txt : 20041005 0001209191-04-047394.hdr.sgml : 20041005 20041005141838 ACCESSION NUMBER: 0001209191-04-047394 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041004 FILED AS OF DATE: 20041005 DATE AS OF CHANGE: 20041005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERNITSKY ANTHONY J CENTRAL INDEX KEY: 0001235161 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10398 FILM NUMBER: 041065460 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 X0202 4 2004-10-04 0 0000856465 GIANT INDUSTRIES INC GI 0001235161 BERNITSKY ANTHONY J C/O GIANT INDUSTRIES, INC. 23733 N. SCOTTSDALE RD. SCOTTSDALE AZ 85255 1 0 0 0 Common Stock 2004-10-04 4 G 0 2000 0.00 D 28000 I In a revocable trust /s/ Anthony J. Bernitsky 2004-10-05 -----END PRIVACY-ENHANCED MESSAGE-----