SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MARTIN MONICA M

(Last) (First) (Middle)
C/O BOSTON BEER COMPANY, INC.
75 ARLINGTON STREET

(Street)
BOSTON, MA X1 02116

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BOSTON BEER CO INC [ SAM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Dir. of Finance & Controller
3. Date of Earliest Transaction (Month/Day/Year)
01/01/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common 01/01/2004 M 224 A $7.075 1,672 D
Class A Common 01/01/2004 M 243 A $8.68 1,915 D(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $18.465 01/01/2004 A 7,500 (1) 12/31/2013 Class A Common 7,500 $18.465 7,500 D
Restricted Stock Purchase $7.075 01/01/2004 M 224 (2) (2) Class A Common 1,122 $7.075 450 D
Restricted Stock Purchase $8.68 01/01/2004 M 243 (2) (2) Class A Common 1,217 $8.68 974 D
Explanation of Responses:
1. Of these 7,500 option shares, 1,500 will vest on 1/1/05, 1/1/06, 1/1/07, 1/1/08 and 1/1/09.
2. Restricted Stock Purchase Plan pursuant to the Investment Share Program under the issuer's Employee Equity Incentive Plan, shares vest at 20% over 5 years from date of purchase.
3. Of these 1,000 shares all are held jointly with reporting person's spouse.
Remarks:
Kathleen H. Wade under Power of Attorney for Monica M. Martin 01/02/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** 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. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
Unassociated Document

 
LIMITED POWER OF ATTORNEY
FOR EXECUTING FORMS 3, 4 AND 5
 
THE COMMONWEALTH OF MASSACHUSETTS
SUFFOLK COUNTY

I, Monica M. Martin, of 11 Paige Street, Hingham, MA 02043, hereby appoint Kathleen H. Wade of The Boston Beer Company, Inc. (the "Company"), 75 Arlington Street, Boston, MA 02116 and Helen F. Bornemann of the Company or each of them acting singly and with full power of substitution, my true and lawful attorneys in fact (collectively and individually referred to herein as my "Attorney") for me and in my name to execute and file with the Securities and Exchange Commission on my behalf and at my instruction, Forms 3, 4 and 5 relating to transactions by me in the stock of the Company and affirm that which my Attorney shall lawfully do or cause to be done by virtue of the powers herein conferred.
 
THIS Power of Attorney shall remain in full force and effect for so long as I have not expressly in writing to my Attorney withdrawn the powers herein conferred.
 
THIS Power of Attorney shall not be affected by my subsequent disability or incapacity.
 
EXECUTED as a sealed instrument this 30th day of December, 2003.


 
 
   Monica M. Martin  

 
 
COMMONWEALTH OF MASSACHUSETTS            )
                                                                                       ) ss.
COUNTY OF SUFFOLK                                             )                                                                       December 30, 2003
 
Then personally appeared the above-named Monica M. Martin and acknowledged the foregoing instrument to be his free act and deed, before me,
 
 
 
   Notary Public  
   My Commission Expires: