-----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, NTTuLfIJ0c6HrOaDYn5+K7nuwfxygIb47rjvLr8NqzTVG6Td9ClhexLj1IGjgeYd 0ca4MHBRfFbEMIVYovo2LA== 0000892712-05-001181.txt : 20051229 0000892712-05-001181.hdr.sgml : 20051229 20051229111450 ACCESSION NUMBER: 0000892712-05-001181 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: LYNCH MATTHEW J CENTRAL INDEX KEY: 0001268714 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 051290305 BUSINESS ADDRESS: BUSINESS PHONE: 9204292211 MAIL ADDRESS: STREET 1: 700 PILGRIM WAY CITY: GREEN BAY 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 0001268714 LYNCH MATTHEW J 700 PILGRIM WAY GREEN BAY WI 54304 0 1 0 0 SVP, Chief Information Officer Stock Option 31.75 2005-12-28 4 D 0 5000 D 2008-11-09 Common Stock 5000 0 D Stock Option 23.3125 2005-12-28 4 D 0 1500 D 2009-11-09 Common Stock 1500 0 D Stock Option 5.313 2005-12-28 4 D 0 300 D 2010-11-28 Common Stock 300 0 D Stock Option 8.29 2005-12-28 4 D 0 1050 D 2011-09-27 Common Stock 1050 0 D Stock Option 9.12 2005-12-28 4 D 0 1000 D 2011-11-27 Common Stock 1000 0 D Stock Option 13.78 2005-12-28 4 D 0 2000 D 2012-12-10 Common Stock 2000 0 D Stock Option 15.32 2005-12-28 4 D 0 10000 D 2013-11-18 Common Stock 10000 0 D Stock Option 13.64 2005-12-28 4 D 0 10000 D 2014-05-25 Common Stock 10000 0 D Each stock option of the issuer became exercisable in full pursuant to Agreement and Plan of Merger by and among issuer and SKO Group Holding Corp. and SKO Acquisition Corp. 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-----