SEC Form 5 · accession 0001127602-15-003389
Fossil Group, Inc. · FOSL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kosta N Kartsotis
Officer — Chairman of the Board & CEO · Director · 10% Owner
Period of report
Jan 3, 2015
Accepted (ET)
Jan 30, 2015 · 12:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000883569
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jun 5, 2014 | G | 104,006 | $0.00 | D | 5,360,102 | D | |
| Common StockF3 | Dec 11, 2014 | J | 350,000 | $0.00 | D | 5,360,102 | D | |
| Common StockF3 | Dec 11, 2014 | J | 300,000 | $0.00 | A | 300,000 | I | by GRAT 2014-1B |
| Common StockF3 | Dec 11, 2014 | J | 50,000 | $0.00 | A | 50,000 | I | by GRAT 2014-3B |
| Common Stock | holding | — | — | — | 132,369 | I | by GRAT 2013-1 | |
| Common Stock | holding | — | — | — | 22,061 | I | by GRAT 2013-3 | |
| Common Stock | holding | — | — | — | 22,061 | I | by GRAT 2013-4 | |
| Common Stock | holding | — | — | — | 225,000 | I | by GRAT 2014-1 | |
| Common Stock | holding | — | — | — | 40,000 | I | by GRAT 2014-3 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Bona fide gift without consideration of any kind.
- F2These transactions are reported as acquisitions or dispositions, however the transactions reflect a change in beneficial ownership to or from a Grantor Retained Annuity Trust.
- F3Not applicable.