-----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, C/prgxh9WO3P2im/TLFlZkiXhqNp6owMWXlVHGTI1qZMrKc7lzx7aYOI+cRAOjrQ Qhrnv63g9IwvZwFVJk4g0w== 0001217671-03-000001.txt : 20030826 0001217671-03-000001.hdr.sgml : 20030826 20030826124416 ACCESSION NUMBER: 0001217671-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030825 FILED AS OF DATE: 20030826 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURROWS PAUL A CENTRAL INDEX KEY: 0001217671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10876 FILM NUMBER: 03865986 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 X0201 4 2003-08-25 0 0000878314 SHOPKO STORES INC SKO 0001217671 BURROWS PAUL A 700 PILGRIM WAY GREENBAY WI 54304 0 1 0 0 Senior Vice President Common Stock 2003-08-25 2003-08-26 4 I 0 7870.896 11.508 D 0 I 401(k) Plan Amount = Units held in fund investing in ShopKo Common Stock and small money market position Price = Value of unit in the ShopKo Stock Fund in the Company's 401(k) Plan Peter Vandenhouten, Power of Attorney 2003-08-26 -----END PRIVACY-ENHANCED MESSAGE-----