UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b).
DORSCH, DANIEL J.
6326 MACLAURIN DRIVE
TAMPA, FLORIDA 33647
U.S.A.
CHECKERS DRIVE-IN RESTAURANTS, INC. (CHKR)
December 2001
( X ) Director ( ) 10% Owner ( ) Officer (Give Title Below) ( ) Other (Specify Below)
(X ) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: CHECKERS DRIVE-IN RESTAURANTS, INC.
CENTRAL INDEX KEY: 0000879554
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 581654960
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
SEC FILE NUMBER: 000-19649
BUSINESS/MAILING ADDRESS:
STREET 1: 4300 WEST CYPRESS STREET, SUITE 600
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 8132837000
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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Title of Non-Derivative Security |
Transaction Date |
Transaction Code |
Security Amount |
Securities Acquired/ Disposed (A/D) |
Securities Price |
Amount Beneficially Owned at End of the Month |
Ownership Direct or Indirect |
Nature of Indirect Beneficial Ownership |
Common Stock |
12/26/01 |
V/P |
3,252.07* |
A |
6.5000 |
175,222 |
D |
|
|
|
|
|
|
|
|
|
|
Table II Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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Title of Derivative Security |
Conversion or Exercise Price |
Transaction Date |
Transaction Code |
Securities Acquired/ Disposed |
Date Exercisable |
Expiration Date |
Title |
Number of Shares |
Price of Security |
Number Beneficially Owned End of Month |
Ownership Direct or Indirect |
Nature of Indirect Beneficial Ownership |
Explanation of Responses:
* Stock is part of an Employee Stock Purchase Plan.
______________________________________________ ______________
Signature of Reporting Person Date