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FORM 4 OMB APPROVAL
- ------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB Number 3235-0287
WASHINGTON, D.C. 20549 Expires: September 30, 1998
Estimated average burden
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP hours per response......0.5
[X] Check this box if no -----------------------------
longer subject to Filed pursuant to Section 16(a) of the Securities
Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the
or Form 5 obligations Public Utility Holding Company Act of 1935
may continue. See or Section 30(f) of the Investment Company
Instruction 1(b). Act of 1940
(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Persons
Burkle Ronald W. Smith's Food & Drug Centers, Inc. (SFD) to Issuer (Check all applicable)
- --------------------------------------------- ---------------------------------------------- X Director X 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
10000 Santa Monica Boulevard, Fifth Floor Number of Reporting Month/Year X Officer (give Other (Specify
- --------------------------------------------- Person (Voluntary) September 1997 ---- title --- below)
(Street) ------------------ below)
Los Angeles California 90067 5. If Amendment,
- --------------------------------------------- Date of Original --------------------------------
(City) (State) (Zip) (Month/Year)
7. Individual or Joint/Group Filing
------------------ (Check applicable line)
Form filed by one
---- Reporting Person
Form filed by more than
---- one Reporting Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Class B Common Stock, par 9/9/97 J(1)(6) 200,000 D (6) -0- I By The
value $.01 per share (7) Yucaipa
Companies
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Class B Common Stock, par 9/9/97 J(2)(6) 1,340,772 D (6) -0- I By Yucaipa
value $.01 per share (7) SSV Part-
ners, L.P.
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Class B Common Stock, par 9/9/97 J(3)(6) 300,667 D (6) -0- I By Yucaipa
value $.01 per share (7) Smitty's
Partners,
L.P.
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Class B Common Stock, par 9/9/97 J(4)(6) 136,793 D (6) -0- I By Yucaipa
value $.01 per share (7) Smitty's
Partners,
II, L.P.
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Class B Common Stock, par 9/9/97 J(5)(6) 273,582 D (6) -0- I By Yucaipa
value $.01 per share (7) Arizona
Partners,
L.P.
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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 4(b)(v). SEC 1474 (7-96)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Derivative sion or action action Derivative cisable and of Underlying of
Security Exercise Date Code Securities Ac- Expiration Securities Deriv-
(Instr. 3) Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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Warrant $50 9/9/97 J(8) 1,842,555 5/23/96 (8) Class C Common 1,842,555 (8)
Stock, par value
$.01 per share
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9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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-0- I By the Yucaipa Companies
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Explanation of Responses:
(1) Exchanged for 210,660 shares of common stock of Fred Meyer, Inc. pursuant to the business combination transaction between
Smith's Food & Drug Centers, Inc. and Fred Meyer, Inc. (the "Merger").
(2) Exchanged for 1,407,810 shares of common stock of Fred Meyer, Inc. pursuant to the Merger.
(3) Exchanged for 315,700 shares of common stock of Fred Meyer, Inc. pursuant to the Merger.
(4) Exchanged for 143,632 shares of common stock of Fred Meyer, Inc. pursuant to the Merger.
(5) Exchanged for 287,261 shares of common stock of Fred Meyer, Inc. pursuant to the Merger.
(6) On September 9, 1997, the closing price of the common stock of Fred Meyer, Inc. on the New York Stock Exchange was $56.56.
(7) The reporting person is a general partner of The Yucaipa Companies which is the general partner of Yucaipa SSV Partners, L.P.,
Yucaipa Smitty's Partners, L.P., Yucaipa Smitty's Partners II, L.P. and Yucaipa Arizona Partners, L.P. The reporting person
disclaims beneficial ownership of these securities (except to the extent of the reporting person's pecuniary interest therein)
and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for
purposes of Section 16 or for any other purpose.
(8) Exchanged for a warrant to purchase an aggregate of 1,934,683 shares of common stock of Fred Meyer, Inc. at an exercise price
of $47.62 per share pursuant to the Merger. One-half of the warrants are exercisable on or prior to May 23, 2000, and one-half
of the warrants are exercisable on or prior to May 23, 2001.
/s/ Ronald W. Burkle October 10, 1997
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**Signature of Reporting Person Date
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
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If space is sufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of
information contained in this form are not required to Page 2
respond unless the form displays a currently valid OMB Number. SEC 1474 (7-96)
