SEC Form 4 · accession 0001548309-19-000021
SEARS HOMETOWN & OUTLET STORES, INC. · SHOS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles Hansen
Officer — VP General Counsel & Secretary
Period of report
Jan 30, 2019
Accepted (ET)
Jan 31, 2019 · 7:25 am 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, 2019 | M | 5,000 | $0.00 | A | 13,000 | D | |
| Common StockF1 | Jan 30, 2019 | M | 6,579 | $0.00 | A | 19,579 | D | |
| Common Stock | Jan 30, 2019 | D | 11,579 | $2.10 | D | 8,000 | 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, 2019 | M | 5,000 | D | Jan 30, 2019 | Jan 30, 2020 | Common Stock | 5,000 | 5,000 | D |
| Phantom Stock (stock units)F1,F3 | $0.00 | Jan 30, 2019 | M | 6,579 | D | Jan 30, 2019 | Jan 30, 2021 | Common Stock | 6,579 | 13,158 | 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 for cash.
- F2These shares of Phantom Stock (stock units) vested on 1-30-19 in accordance with their terms. The remaining shares of Phantom Stock (stock units) with respect to this grant vest on 1-30-20.
- F3These shares of Phantom Stock (stock units) vested on 1-30-19 in accordance with their terms. The remaining shares of Phantom Stock (stock units) with respect to this grant vest one-half on 1-30-20 and the other half on 1-30-21.