This excerpt taken from the SWY 8-K filed May 18, 2007.
FOR VALUE RECEIVED, the undersigned, , hereby sells, assigns and transfers unto SAFEWAY INC., a Delaware corporation (the Company), shares of the common stock of the Company, standing in its name on the books of said corporation represented by Certificate No. herewith and does hereby irrevocably constitute and appoint to transfer the said stock on the books of the within named corporation with full power of substitution in the premises.
This Stock Assignment may be used only in accordance with the Restricted Stock Award Grant Notice between the Company and the undersigned dated , 20 and the Restricted Stock Award Agreement attached thereto.
INSTRUCTIONS: Please do not fill in the blanks other than the signature line. The purpose of this assignment is to enable the Company to enforce the Forfeiture Restriction as set forth in the Agreement, without requiring additional signatures on the part of Holder.