-----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, UPU31+AnGha9P6+kssAAWKZvOTm9IdlHATrbT9Knkfi4WhgurAdjExtpqVmg2/WK r2MgNZgQEsbHH4uIkOQAwg== 0001209191-05-059791.txt : 20051128 0001209191-05-059791.hdr.sgml : 20051128 20051128131051 ACCESSION NUMBER: 0001209191-05-059791 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051123 FILED AS OF DATE: 20051128 DATE AS OF CHANGE: 20051128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BULLERDICK KIM H CENTRAL INDEX KEY: 0001235149 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10398 FILM NUMBER: 051227867 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 2005-11-23 0 0000856465 GIANT INDUSTRIES INC GI 0001235149 BULLERDICK KIM H GIANT INDUSTRIES, INC. 23733 N. SCOTTSDALE RD. SCOTTSDALE AZ 85255 0 1 0 0 SVP, General Counsel & Sec. Common Stock 2005-11-23 4 I 0 5254 57.099 D 6113 I In the Giant Industries, Inc. 401(k) Plan Common Stock 400 I In a revocable trust /s/ Kim H. Bullerdick 2005-11-28 -----END PRIVACY-ENHANCED MESSAGE-----