FORM 4 £ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION 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(f) of the Investment Company Act of 1940 |
OMB APPROVAL |
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OMB Number: 3235-0287 |
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Expires: January 31, 2005 |
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Estimated average burden |
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1. Name and Address of Reporting Person* |
2. Issuer Name and Ticker or Trading Symbol Uni-Marts, Inc. UNI |
6. Relationship of Reporting Person(s) to Issuer _ Director _ 10% Owner X Officer (give ___ Other (specify below) title below) Executive Vice President and Chief Financial Officer |
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(Last) (First) (Middle) 477 East Beaver Avenue |
3. I.R.S. Identification Number of |
4. Statement for Month/Year September 2002 |
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(Street) |
5. If Amendment, Date of Original |
7. Individual or Joint/Group Filing (Check Applicable Line)_X Form filed by One Reporting Person ___ Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2.Transaction |
3. Transaction |
4. Securities Acquired (A) |
5. Amount of |
6. Ownership |
7) Nature of Indirect |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Common Stock |
(1) 4,714.81 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Derivative Security |
2. Conver- |
3. Trans |
4. Trans |
5. Number of Deriv- |
6. Date Exercisable |
7. Title and Amount of |
8. Price |
9. Number |
10. Owner- |
11.Nature |
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of |
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Option - Right to Buy |
$5.375 |
12/9/94 |
12/8/03 |
Common Stock |
1,500 |
1,500 |
D |
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Option - Right to Buy |
$5.375 |
10/17/95 |
10/16/04 |
Common Stock |
2,000 |
2,000 |
D |
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Option - Right to Buy |
$7.00 |
10/2/96 |
10/1/05 |
Common Stock |
2,000 |
2,000 |
D |
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Option - Right to Buy |
$6.25 |
11/4/97 |
11/3/06 |
Common Stock |
2,000 |
2,000 |
D |
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Option - Right to Buy |
$5.25 |
10/20/98 |
10/19/07 |
Common Stock |
2,000 |
2,000 |
D |
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Option - Right to Buy |
$3.125 |
9/16/99 |
9/15/08 |
Common Stock |
3,000 |
3,000 |
D |
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Option - Right to Buy |
$1.375 |
8/31/00 |
8/30/09 |
Common Stock |
15,000 |
15,000 |
D |
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Option - Right to Buy |
$2.00 |
(2) |
9/12/10 |
Common Stock |
20,000 |
20,000 |
D |
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Option - Right to Buy |
$2.20 |
(2) |
9/25/11 |
Common Stock |
22,500 |
22,500 |
D |
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Option - Right to Buy |
$1.40 |
9/18/02 |
A |
25,000 |
(3) |
9/17/12 |
Common Stock |
25,000 |
25,000 |
D |
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Explanation of Responses: |
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/S/ N. Gregory Petrick **Signature of Reporting Person |
October 7, 2002 |
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Reminder: |
Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations |
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Note: |
File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure |
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