-----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, UHJt/zJWtVVu8+IkXpjrHFjswQIxb2QjUFnk9mZTLh1O8u0z9cDf+25d4umd5Lm7 hI7LW7j7koOB6CBI409SwQ== 0000878314-05-000003.txt : 20050120 0000878314-05-000003.hdr.sgml : 20050120 20050120153757 ACCESSION NUMBER: 0000878314-05-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050119 FILED AS OF DATE: 20050120 DATE AS OF CHANGE: 20050120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCPHEE MARTHA A CENTRAL INDEX KEY: 0001217668 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 05538725 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 X0202 4 2005-01-19 0 0000878314 SHOPKO STORES INC SKO 0001217668 MCPHEE MARTHA A 700 PILGRIM WAY GREENBAY WI 54304 1 0 0 0 Common Stock (Restricted) 2005-01-19 4 A 0 1000 A 2000 D This stock is restricted, with vesting to occur upon the third anniversary of the grant date. Granted pursuant to one of the Company's stock incentive plans for which no consideration was paid. Includes 1,000 restricted shares. Peter G. Vandenhouten, POA 2005-01-20 -----END PRIVACY-ENHANCED MESSAGE-----