-----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, NT3amw1l1LdSeFmGd2MxopmeQhX2m4VF/+jKS0zaGnuE8RKIW3AMCQbSrJszasp0 +f94GJf5q5dnS+hAiQpGWQ== 0000878314-03-000003.txt : 20030904 0000878314-03-000003.hdr.sgml : 20030904 20030904142551 ACCESSION NUMBER: 0000878314-03-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030902 FILED AS OF DATE: 20030904 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KRAMER DALE P CENTRAL INDEX KEY: 0001217665 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 03881175 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 2003-09-02 0 0000878314 SHOPKO STORES INC SKO 0001217665 KRAMER DALE P 700 PILGRIM WAY GREENBAY WI 54304 1 0 0 0 Phantom Stock Units 2003-09-02 4 A 0 354.359 354.359 A Common Stock 354.359 354.359 D Phantom Stock Units track the performance of ShopKo Stores, Inc. Common Stock. Shares of Phantom Stock become payable in cash following termination of service as a director. Peter Vandenhouten 2003-09-02 -----END PRIVACY-ENHANCED MESSAGE-----