FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION |
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Washington, D.C. 20549 |
OMB Number 3235-0104 |
(Print or Type Responses) |
OWNERSHIP OF SECURITIES |
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1. Name and Address of Reporting Person* Thomas Edward J. (Last) (First) (Middle) |
4. Issuer Name and
Ticker or Trading Symbol Spartan Stores, Inc. ("SPTN") |
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5. Relationship of
Reporting Person(s) to Issuer (Check all applicable) Director   10% Owner X Officer (give title Other (specify below) below)     Vice President Retail Merchandising |
Grand Rapids, Michigan 49518 (City) (State) (Zip) |
6. If Amendment, Date of Original (Month/Day/Year) |
2. Date of Event Requiring
Statement (Month/Day/Year) 11/13/02 |
7. Individual or Joint/Group
Filing (Check Applicable Line) X Form Filed by One Reporting Person Form Filed by More than One Reporting Person |
3. I.R.S. Identification
Number of Reporting Person, if an entity (voluntary) |
Table I -- Non-Derivative Securities Beneficially Owned |
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1. Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 4) |
Common Stock |
0
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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
5(b)(v).
Persons who respond
to the collection of Information contained in this form are not required
to respond unless the form displays a currently valid OMB control number. |
(Over)
SEC 1473 (7-02) |
Form 3 (continued) | Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
1. Title of Derivative
Security (Instr. 4) |
2. Date Exer- cisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of
Securities Underlying Derivative Security (Instr. 4) |
4. Conver- sion or Exercise Price of Deri- vative Security |
5. Owner- ship Form of Deriv- ative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature
of Indirect Beneficial Ownership (Instr. 5) |
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Date Exer- cisable |
Expira- tion Date |
Title |
Amount
or Number of Shares |
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Stock Option (Right to Buy) |
6/17/03
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6/16/12 | Common Stock | 625 |
$4.33
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D
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Stock Option (Right to Buy) |
6/17/04
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6/16/12 | Common Stock | 625 |
$4.33
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D
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Stock Option (Right to Buy) |
6/17/05
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6/16/12 | Common Stock | 625 |
$4.33
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D
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Stock Option (Right to Buy) |
6/17/06
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6/16/12 | Common Stock | 625 |
$4.33
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D
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By /s/ Edward J. Thomas |
November 15, 2002 |
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**Intentional misstatements or omissions of facts constitute Federal Criminal | **Signature of Reporting Person | Date | ||
Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Edward J. Thomas |