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GOLDBERG LESLIE H 4

Accession 0000897069-04-001824

CIK 0000013573other

Filed

Oct 21, 8:00 PM ET

Accepted

Oct 22, 11:26 AM ET

Size

8.3 KB

Accession

0000897069-04-001824

Insider Transaction Report

Form 4
Period: 2004-10-20
GOLDBERG LESLIE H
DirectorPresident10% Owner
Transactions
  • Will/Inheritance

    Class A Common Stock

    2004-10-20+77,949418,134 total
  • Will/Inheritance

    Class B Common Stock

    2004-10-20+77,949423,048 total
Holdings
  • Class A Common Stock

    (indirect: By IRA)
    3,150
Footnotes (2)
  • [F1]The reported amount has been adjusted to reflect the distribution of 77,949 shares of Class B Common Stock from the C. Edward Goldberg Trust (the "Trust"), effective as of October 20, 2004, following the death of Mr. C. Edward Goldberg. The reporting person was a designated beneficiary as well co-trustee of the Trust and had reported these shares as indirectly owned on previous reports. The remaining 77,949 shares of Class B Common Stock held by the Trust, which had been also reported as indirectly owned by the reporting person, were transferred to Ms. Merle Fabian, a director of Bowl America, Inc. Ms. Fabian was a designated beneficiary and co-trustee of the Trust.
  • [F2]The reported amount has been adjusted to reflect the distribution of 77,949 shares of Class A Common Stock from the C. Edward Goldberg Trust (the "Trust"), effective as of October 20, 2004, following the death of Mr. C. Edward Goldberg. The reporting person was a designated beneficiary as well co-trustee of the Trust and had reported these shares as indirectly owned on previous reports. The remaining 77,949 shares of Class A Common Stock held by the Trust, which had been also reported as indirectly owned by the reporting person, were transferred to Ms. Merle Fabian, a director of Bowl America, Inc. Ms. Fabian was a designated beneficiary and co-trustee of the Trust.

Documents

1 file

Issuer

BOWL AMERICA INC

CIK 0000013573

Entity typeother

Related Parties

1
  • filerCIK 0001133888

Filing Metadata

Form type
4
Filed
Oct 21, 8:00 PM ET
Accepted
Oct 22, 11:26 AM ET
Size
8.3 KB