SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
BECKER NORMAN H

(Last) (First) (Middle)
C/O BENIHANA INC.
8685 NORTHWEST 53 TERRACE

(Street)
MIAMI FL 33166

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BENIHANA INC [ BNHN/BNHNA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
03/28/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
10/15/2004
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Class A Common Stock 08/22/2003 A4(2) 0 A $0 575 I I(1)
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option to Buy $9.8913 07/31/1997 4A(2) 0(2) 07/31/1997 07/31/2007 Common Stock 2,500 $0 2,500 D
Option to Buy $9.8913 07/31/1997 4A(2) $0 07/31/1997 07/31/2007 Class A Common Stock 375 $0 375 D
Option to Buy $6.6304 08/27/1998 4A(2) $0 08/27/1998 08/27/2008 Class A Common Stock 11,500 $0 11,500 D
Option to Buy $12.5304 08/05/1999 4A(2) $0 08/05/1999 08/05/2009 Class A Common Stock 11,500 $0 11,500 D
Option to Buy $11.0348 08/03/2000 4A(2) $0 08/03/2000 08/03/2010 Class A Common Stock 11,500 $0 11,500 D
Option to Buy $7.8261 02/09/2001 4A(2) $0 02/09/2001 02/09/2011 Class A Common Stock 5,750 $0 5,750 D
Option to Buy $11.8957 08/16/2001 4A(2) $0 08/16/2001 08/16/2011 Class A Common Stock 11,500 $0 11,500 D
Option to Buy $12.8 08/22/2002 4A(2) $0 08/22/2002 08/22/2012 Class A Common Stock 10,000 $0 10,000 D
Option to Buy $11.45 08/21/2003 4A(2) 0(2) 08/21/2003(3) 08/21/2013 Class A Common Stock 10,000 $0 10,000 D
Option to Buy $11.35 09/28/2004 A 10,000(2) 09/28/2004(4) 09/28/2014 Class A Common Stock 10,000 $0 10,000 D
Explanation of Responses:
1. Norman H. Becker P/S/T FBO Norman Becker
2. Transaction previously reported.
3. Two-thirds currently exercisable; one-third exercisable 8-21-05.
4. One-third currently exercisable; one-third exercisable 09-28-05; one-third exercisable 09-28-06.
Norman Becker 10/18/2004
** 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.