-----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, Aq+i6tx/l1e5gniWMnxqGGCzhHJ3JISCGghK8nPE/aOMpUhVa3HDyt+SnOWBZgSe rwx3IFUIAiffcPM6N9yQTQ== 0000892712-05-001184.txt : 20051229 0000892712-05-001184.hdr.sgml : 20051229 20051229111708 ACCESSION NUMBER: 0000892712-05-001184 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: TURNER JOHN G CENTRAL INDEX KEY: 0000939359 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 051290320 BUSINESS ADDRESS: BUSINESS PHONE: 6123339922 MAIL ADDRESS: STREET 1: 527 MARQUETTE AVE S STE 2150 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 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 0000939359 TURNER JOHN G 527 MARQUETTE AVENUE S. STE 2150 MINNEAPOLIS MN 55402 1 0 0 0 Common Stock 2005-12-28 4 D 0 10200 29.07 D 0 D Stock Option 32.125 2005-12-28 4 D 0 4762 D 2009-08-15 Common Stock 4762 0 D Stock Option 18.19 2005-12-28 4 D 0 2000 D 2010-05-23 Common Stock 2000 0 D Stock Option 7.48 2005-12-28 4 D 0 4000 D 2011-06-04 Common Stock 4000 0 D Stock Option 19.85 2005-12-28 4 D 0 4000 D 2012-05-28 Common Stock 4000 0 D Stock Option 11.41 2005-12-28 4 D 0 4000 D 2013-05-27 Common Stock 4000 0 D Stock Option 13.64 2005-12-28 4 D 0 4000 D 2014-05-25 Common Stock 4000 0 D Phantom Stock Units 14.11 2005-12-28 4 D 0 354.359 D Common Stock 354.359 0 D Phantom Stock Units 13.64 2005-12-28 4 D 0 366.5689 D Common Stock 366.5689 0 D Includes 1,000 shares of restricted stock 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. Units of phantom stock became payable in cash following termination of service as a director. Each phantom stock unit became payable in cash upon consummation of the merger for a payment equal to the difference between the price of the phantom stock unit and $29.07. Peter G. Vandenhouten (pursuant to power of attorney previously filed) 2005-12-28 -----END PRIVACY-ENHANCED MESSAGE-----