UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
Commission File Number 001-12510
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(Check one)
/_/ Form 10-K /_/ Form 20-F /X/ Form 11-K
/_/ Form 10-Q /_/ Form N-SAR /_/ Form N-CSR
For period ended: December 31, 2004
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/_/ Transition Report on Form 10-K
/_/ Transition Report on Form 20-F
/_/ Transition Report on Form 11-K
/_/ Transition Report on Form 10-Q
/_/ Transition Report on Form N-SAR
For the Transition Period ended: Not Applicable
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Read Instruction (on back page) Before Preparing Form. Please Print or Type.
Nothing in this form shall be construed to imply that the Commission has
verified any information contained herein.
If the notification relates to a portion of the filing checked above,
identify the Item(s) to which the notification relates: Not Applicable
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PART I
REGISTRANT INFORMATION
Full Name of Registrant: Ahold USA, Inc 401(k) Savings Plan for Hourly
Associates
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Former Name if Applicable: Not Applicable
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Address of Principal Executive Office (Street and number): 1385 Hancock Street
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City, State and Zip Code: Quincy, MA 02169
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PART II
RULE 12b-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or
expense and the registrant seeks relief pursuant to Rule 12b-25(b), the
following should be completed. (Check box if appropriate.)
/_/ (a) The reasons described in reasonable detail in Part III of this form
could not be eliminated without unreasonable effort or expense;
/X/ (b) The subject annual report, semi-annual report, transition report on
Form 10-K, 20-F, 11-K, Form N-SAR, or Form N-CSR or portion thereof,
will be filed on or before the fifteenth calendar day following the
prescribed due date; or the subject quarterly report or transition
report on Form 10-Q, or portion thereof will be filed on or before the
fifth calendar day following the prescribed due date; and
/_/ (c) The accountant's statement or other exhibit required by Rule 12b-25(c)
has been attached if applicable.
PART III
NARRATIVE
The Registrant was unable to file its Annual Report on Form 11-K for the
year ended December 31, 2004 within the prescribed time period because of
unforeseen delays in completing the audit of the financial statements that are
required to be included in the Form 11-K.
PART IV
OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification.
Ward R. Kraemer (617) 770 7121
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(Name) (Area Code) (Telephone Number)
(2) Have all other periodic reports required under Section 13 or 15(d) of
the Securities Exchange Act of 1934 or Section 30 of the Investment
Company Act of 1940 during the preceding 12 months or for such shorter
period that the registrant was required to file such report(s) been
filed? If the answer is no, identify report(s).
/X/ Yes /_/ No
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(3) Is it anticipated that any significant change in results of
operations from the corresponding period for the last fiscal year
will be reflected by the earnings statements to be included in the
subject report or portion thereof?
/_/ Yes /X/ No
If so, attach an explanation of the anticipated change, both narratively
and quantitatively, and, if appropriate, state the reasons why a reasonable
estimate of the results cannot be made.
Ahold USA, Inc 401(k) Savings Plan for Hourly Associates
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(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned
thereunto duly authorized.
Date: June 30, 2005 By:/s/ Maureen McGurl
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Name: Maureen McGurl
Title: EVP, Human Resources
INSTRUCTION: The form may be signed by an executive officer of the registrant or
by any other duly authorized representative. The name and title of the person
signing the form shall be typed or printed beneath the signature. If the
statement is signed on behalf of the registrant by an authorized representative
(other than an executive officer), evidence of the representative's authority to
sign on behalf of the registrant shall be filed with the form.
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