BOWL AMERICA INC·4

Oct 22, 11:26 AM ET

GOLDBERG LESLIE H 4

4 · BOWL AMERICA INC · Filed Oct 22, 2004

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
  • 4
    sdc807_ex.xmlPrimary