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FORM 3 OMB APPROVAL
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U.S. SECURITIES AND EXCHANGE COMMISSION OMB Number: 3235-0104
Washington, D.C. 20549 Expires: September 30, 1998
Estimated average burden
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES hours per response.......0.5
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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
(Print or Type Responses)
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<S> <C> <C>
1. Name and Address of Reporting Person* 2. Date of Event 4. Issuer Name and Ticker or Trading Symbol
Requiring Statement
(Month/Day/Year) Smith's Food & Drug Centers, Inc. ("SFD")
Fred Meyer, Inc. ------------------------------------------------------------
------------------------------------------ 5. Relationship of Reporting Person 6. If Amendment,
(Last) (First) (Middle) to Issuer Date of Original
May 11, 1997 (Check all applicable) (Month/Day/Year)
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3800 SE 22nd Avenue 3. IRS or Social Director X 10% Owner -----------------------
------------------------------------------ Security Number of --- --- 7. Individual or Joint
(Street) Reporting Person /Group Filing
(Voluntary) Officer Other (Check Applicable
--- (give title --- (specify Line)
Portland Oregon 97202 below) below) X Form filed by One
------------------------------------------ --- Reporting Person
(City) (State) (Zip) Form filed by More
---------------------------- than One Reporting
--- Person
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TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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<S> <C> <C> <C>
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct (D) Ownership (Instr. 5)
(Instr. 4) or Indirect (I)
(Instr. 5)
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(1) In connection with a proposed reorganization transaction (the "Reorganization") between the Reporting Person and the Issuer,
the Reporting Person has entered into voting agreements (the "Voting Agreements") with certain shareholders of the Issuer. The
Voting Agreements provide that the shareholders will vote all securities of the Issuer held by such shareholders that are
entitled to vote at the meeting of the shareholders of the Issuer called to consider and vote upon the Reoganization (i) in
favor of approving the Reorganization, (ii) against any other merger agreement or merger, consolidation, combination,
dissolution, liquidation or winding up by the Issuer, or any other acquisition proposal, and (iii) against any amendment to the
Issuer's certificate of incorporation or bylaws or other proposal or transaction that would in any manner impede, frustrate,
prevent, or nullify the Reorganization. The Reporting Person has no pecuniary interest in such shares and disclaims beneficial
ownership of such shares.
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, see Instruction 5(b)(v). SEC 1473 (7-96)
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FORM 3 (continued)
TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities)
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<S> <C> <C> <C> <C> <C>
1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Ownership 6. Nature of
(Instr. 4) cisable and Underlying Derivative Security sion or Form of Indirect
Expiration (Instr. 4) Exercise Derivative Beneficial
Date Price of Security: Ownership
(Month/Day/ Derivative Direct (D) (Instr. 5)
Year) Security or
----------------------------------------------------- Indirect (I)
Date Expira- Amount or (Instr. 5)
Exer- tion Title Number of
cisable Date Shares
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Explanation of Responses:
FRED MEYER, INC.
** Intentional misstatements or omissions of facts By: ROGER A. COOKE* May 20, 1997
constitute Federal Criminal Violations. ------------------------------------ --------------------------
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
* Roger A. Cooke, Sr. Vice President,
General Counsel and Secretary
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information in this form are Page 2
not required to respond unless the form displays a correct valid OMB Number. SEC 1473 (7-96)
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