-----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, Qepoy4CSaZ/mSQH0eMX62yyBbwGnjbqqKAgkY5iEB43YrwE1U1Fh5/AaTjd9ONY6 W4TYM9EmAkW3KHSPc9j/kA== 0000892712-05-001178.txt : 20051229 0000892712-05-001178.hdr.sgml : 20051229 20051229111244 ACCESSION NUMBER: 0000892712-05-001178 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051228 FILED AS OF DATE: 20051229 DATE AS OF CHANGE: 20051229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOPKINS MICHAEL J CENTRAL INDEX KEY: 0001217664 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 051290300 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: 0129 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 edgar.xml PRIMARY DOCUMENT X0202 4 2005-12-28 1 0000878314 SHOPKO STORES INC SKO 0001217664 HOPKINS MICHAEL J 700 PILGRIM WAY GREEN BAY WI 54304 0 1 0 0 President, Pamida Division Common Stock 2005-12-28 4 D 0 3700 29.07 D 0 D Stock Option 20.00 2005-12-28 4 D 0 30000 D 2007-04-28 Common Stock 30000 0 D Stock Option 24.5625 2005-12-28 4 D 0 10000 D 2007-11-11 Common Stock 10000 0 D Stock Option 37.625 2005-12-28 4 D 0 15000 D 2009-07-13 Common Stock 15000 0 D Stock Option 23.3125 2005-12-28 4 D 0 10000 D 2009-11-09 Common Stock 10000 0 D Stock Option 5.313 2005-12-28 4 D 0 5000 D 2010-11-28 Common Stock 5000 0 D Stock Option 13.78 2005-12-28 4 D 0 15000 D 2012-12-10 Common Stock 15000 0 D Stock Option 13.64 2005-12-28 4 D 0 15000 D 2014-05-26 Common Stock 15000 0 D Disposed of pursuant to Agreement and Plan of Merger by and among issuer and SKO Group Holding Corp. and SKO Acquisition Corp. in exchange for a cash payment of $29.07 per share. Each stock option of the issuer became exercisable in full upon consummation of the merger and was cancelled in the merger in exchange for a cash payment per share equal to the difference between the exercise price of the option and $29.07. Peter G. Vandenhouten (pursuant to power of attorney previously filed) 2005-12-28 -----END PRIVACY-ENHANCED MESSAGE-----