-----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, QGg7nmzTyBejV5I6ODHEy25FPelV0gTsX7T9QwL2Gzs9mf4c4TJqo31vY5ipBpwm 8j5UwYIN411aq+9aTpHx1w== 0000878314-05-000004.txt : 20050120 0000878314-05-000004.hdr.sgml : 20050120 20050120155507 ACCESSION NUMBER: 0000878314-05-000004 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: ZONA RICHARD A CENTRAL INDEX KEY: 0001217669 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 05538861 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 0001217669 ZONA RICHARD 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-----