-----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, N8zTtsmEi2LN7fKnpNwjPoIliveUk42sDj8tlunQbet5ECBJJotPuWtJ/3A/7nlG bguE8ZWPfEHzHLAigpGPxQ== 0000878314-03-000001.txt : 20030828 0000878314-03-000001.hdr.sgml : 20030828 20030828154419 ACCESSION NUMBER: 0000878314-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030827 FILED AS OF DATE: 20030828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDREWS STEVEN ROBERT CENTRAL INDEX KEY: 0001217670 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 03871102 MAIL ADDRESS: STREET 1: 700 PILGRIM WAY CITY: GREENBAY STATE: WI ZIP: 54304 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHOPKO STORES INC CENTRAL INDEX KEY: 0000878314 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 410985054 STATE OF INCORPORATION: WI FISCAL YEAR END: 0222 BUSINESS ADDRESS: STREET 1: 700 PILGRIM WAY CITY: GREEN BAY STATE: WI ZIP: 54304 BUSINESS PHONE: 9204972211 MAIL ADDRESS: STREET 1: PO BOX 19060 CITY: GREEN BAY STATE: WI ZIP: 54307-9060 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-08-27 0 0000878314 SHOPKO STORES INC SKO 0001217670 ANDREWS STEVEN ROBERT 700 PILGRIM WAY GREEN BAY WI 54304 0 1 0 0 Senior Vice President Common Stock 2003-08-27 4 P 0 1000 13.5 A 1000 I Held by Steven R. Andrews Trust Common Stock 10000 D Includes Restricted Stock Peter Vandenhouten, Power of Attorney 2003-08-28 -----END PRIVACY-ENHANCED MESSAGE-----