-----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, MdMRPrvTQdEoDh7+2FZqjNkaVISLRGGHwCEFR1OFk4UdfClSdLDefgVYWyY+xtCK JO8h66wIX7ZdsqERWjOeIQ== 0001209191-04-013904.txt : 20040303 0001209191-04-013904.hdr.sgml : 20040303 20040303121639 ACCESSION NUMBER: 0001209191-04-013904 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040201 FILED AS OF DATE: 20040303 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DAVE & BUSTERS INC CENTRAL INDEX KEY: 0000943823 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 431532756 STATE OF INCORPORATION: MO FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 BUSINESS PHONE: 2143579588 MAIL ADDRESS: STREET 1: 2481 MANANA DR CITY: DALLAS STATE: TX ZIP: 75220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORRIVEAU DAVID O CENTRAL INDEX KEY: 0000947823 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-15007 FILM NUMBER: 04645167 BUSINESS ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 BUSINESS PHONE: 2143579588 MAIL ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 5/A 1 doc5a.xml FORM 5/A SUBMISSION X0201 5/A 2004-02-01 2001-05-04 0 0 0 0000943823 DAVE & BUSTERS INC DAB 0000947823 CORRIVEAU DAVID O 15 MILFORD DALLAS TX 75230 1 1 0 0 President Stock Option (right to buy) 8.0000 2000-09-20 5 A 0 50000.0000 8.0000 A 2001-09-20 2010-09-20 Common Stock 50000.0000 240000.0000 D /s/ John S. Davis Attorney-in-Fact 2004-03-03 -----END PRIVACY-ENHANCED MESSAGE-----