FABIAN MERLE 4
4 · BOWL AMERICA INC · Filed Oct 22, 2004
Insider Transaction Report
Form 4
BOWL AMERICA INCBWLA
FABIAN MERLE
Director10% Owner
Transactions
- Will/Inheritance
Class B Common Stock
2004-10-20+77,949→ 312,482 total - Will/Inheritance
Class A Common Stock
2004-10-20+77,949→ 304,268 total
Footnotes (2)
- [F1]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 also had been reported as indirectly owned by the reporting person, were transferred to Mr. Leslie H. Goldberg, the President and a director of Bowl America, Inc. Mr. Leslie H. Goldberg 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 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 also had been reported as indirectly owned by the reporting person, were transferred to Mr. Leslie H. Goldberg, the President and a director of Bowl America, Inc. Mr. Leslie H. Goldberg was a designated beneficiary and co-trustee of the Trust.