FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION |
OMB APPROVAL |
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |
OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response. ... 0.5 |
(Print or Type Responses) |
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
1. Name and Address of Reporting Person* Thomas, Edward J. (Last) (First) (Middle) |
4. Statement for Month/Day/Year 11/13/02 |
850 - 76th Street SW (Street) |
5. If Amendment, Date of Original
(Month/Day/Year) |
Grand Rapids Michigan 49518 (City) (State) (Zip) |
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2. Issuer Name and
Ticker or Trading Symbol Spartan Stores, Inc. ("SPTN") |
6. Relationship of
Reporting Person(s) to Issuer (Check all applicable) Director   10% Owner X Officer (give title below) Other (specify below)   Vice President Retail Merchandising |
3. I.R.S. Identification Number of
Reporting Person, if an entity (voluntary) |
7. Individual or Joint/Group
Filing (Check Applicable Line) X Form Filed by One Reporting Person Form Filed by More than One Reporting Person |
Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security (Instr. 3) |
2.Transaction Date (Month/ Day/Year) |
2A. Deemed Execution Date, if any (Month/ Day/Year) |
3. Transaction Code (Instr. 8) |
4. Securities Acquired
(A) or Disposed of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) |
6.Ownership Form: Di- rect (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | Amount | (A) or (D) | Price | ||||||
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page 1 of 2
FORM 4 (continued) | Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
1. Title of Derivative
Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date (Month/ Day/Year) |
3A.Deemed Execution Date, if any (Month/ Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
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Stock Option (Right to Buy) | $2.14 |
11/13/02 |
A | A | 11/13/03 | 11/12/12 | |||
Stock Option (Right to Buy) | $2.14 |
11/13/02 |
A | A | 11/13/04 | 11/12/12 | |||
Stock Option (Right to Buy) | $2.14 |
11/13/02 |
A | A | 11/13/05 | 11/12/12 | |||
Stock Option (Right to Buy) | $2.14 |
11/13/02 |
A | A | 11/13/06 | 11/12/12 | |||
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7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Securities Beneficially Owned at End of Month (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Title | Amount or Number of Shares | ||||
Common Stock | 3,125 | $2.14 | 3,125 | D | |
Common Stock | 3,125 | $2.14 | 3,125 | D | |
Common Stock | 3,125 | $2.14 | 3,125 | D | |
Common Stock | 3,125 | $2.14 | 3,125 | D | |
Explanation of Responses:
By: | /s/ Edward J. Thomas |
November 15, 2002 |
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**Signature of Reporting Person | Date | ||
Edward J. Thomas | |||
Reminder: | Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
* ** |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure |
page 2 of 2