SEC Form 5 · accession 0001127602-16-040028

Fossil Group, Inc. · FOSL

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chairman of the Board & CEO · Director · 10% Owner

Period of report

Jan 3, 2016

Accepted (ET)

Feb 8, 2016 · 4:24 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^F2	Dec 11, 2015	J	300,000	$0.00	A	4,951,019	D
Common Stock^F2	Dec 11, 2015	J	300,000	$0.00	D	0	I	by GRAT 2014-1B
Common Stock^F2	Dec 30, 2015	J	450,000	$0.00	A	450,000	I	by GRAT 2015-1
Common Stock^F2	Dec 30, 2015	J	450,000	$0.00	D	4,951,019	D
Common Stock^F2	Mar 20, 2015	J	162,502	$0.00	A	4,951,019	D
Common Stock^F2	Mar 20, 2015	J	162,502	$0.00	D	62,498	I	by GRAT 2014-1
Common Stock^F2	Mar 27, 2015	G	120,475	$0.00	D	4,951,019	D
Common Stock^F2	Mar 3, 2015	G	10,000	$0.00	D	4,951,019	D
Common Stock^F2	Dec 30, 2015	J	300,000	$0.00	D	4,951,019	D
Common Stock^F2	Dec 30, 2015	J	300,000	$0.00	A	300,000	I	by GRAT 2015-2
Common Stock^F2	Mar 20, 2015	J	28,890	$0.00	D	11,110	I	by GRAT 2014-3
Common Stock^F2	Mar 20, 2015	J	28,890	$0.00	A	4,951,019	D
Common Stock^F2	Dec 11, 2015	J	50,000	$0.00	D	0	I	by GRAT 2014-3B
Common Stock^F2	Dec 11, 2015	J	50,000	$0.00	A	4,951,019	D
Common Stock^F2	Dec 30, 2015	J	70,000	$0.00	A	70,000	I	by GRAT 2015-3
Common Stock^F2	Dec 30, 2015	J	70,000	$0.00	D	4,951,019	D
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

No Table II lines on this filing.

F1These transactions are reported as acquisitions or dispositions, however the transactions reflect a change in beneficial ownership from a Grantor Retained Annuity Trust.
F2Not applicable.
F3Bona fide gift without consideration of any kind.