SEC Form 4 · accession 0001548309-18-000029
SEARS HOMETOWN & OUTLET STORES, INC. · SHOS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William A. Powell
Officer — CEO and President · Director
Period of report
Jan 30, 2018
Accepted (ET)
Jan 31, 2018 · 4:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001548309
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 30, 2018 | M | 16,667 | $0.00 | A | 56,657 | D | |
| Common Stock | Jan 30, 2018 | D | 16,667 | $2.625 | D | 39,990 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock (stock units)F1,F2 | $0.00 | Jan 30, 2018 | M | 16,667 | D | Jan 30, 2020 | Jan 30, 2020 | Common Stock | 16,667 | 33,333 | D |
Explanation of responses
- F1Each share of Phantom Stock (stock units) is the economic equivalent of one share of the Company's common stock and is exercisable solely in cash.
- F2These shares of Phantom Stock (stock units) vested on 1-30-18 in accordance with their terms. The remaining shares of Phantom Stock (stock units) with respect to this grant vest one-half on 1-30-19 and the other half on 1-30-20.