SEC Form 5 · accession 0001548309-18-000033
SEARS HOMETOWN & OUTLET STORES, INC. · SHOS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
E J Bird
Officer — SVP and CFO · Director
Period of report
Feb 3, 2018
Accepted (ET)
Feb 5, 2018 · 5:06 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001548309
Table I — non-derivative securities
No Table I lines on this filing.
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)F2,F1 | $0.00 | Aug 15, 2017 | A | 40,000 | A | Jan 30, 2018 | Jan 30, 2020 | Common Stock | 40,000 | 40,000 | D |
Explanation of responses
- F1Each share of Phantom Stock (stock units) is the economic equivalent of one share of the Company's common stock.
- F2The shares of Phantom Stock (stock units) vest in three substantially equal installments. The first installment vested on January 30, 2018 and was payable, and was paid, solely in cash. The remaining installments vest on January 30, 2019 and January 30, 2020 and are payable solely in cash. See the Reporting Person's Form 4 filed on January 31, 2018.