SEC Form 4 · accession 0001127602-16-053569
Fossil Group, Inc. · FOSL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Elysia Holt Ragusa
Director
Period of report
May 25, 2016
Accepted (ET)
May 26, 2016 · 4:41 pm EDT
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 StockF1,F2 | May 25, 2016 | A | 4,710 | $0.00 | A | 9,242 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy) | $16.415 | holding | — | — | — | Jan 1, 2010 | Jan 1, 2019 | Common Stock | 5,000 | 5,000 | D |
Explanation of responses
- F1Restricted Stock Units that shall become one hundred percent (100%) vested and convertible into shares of Common Stock on the earlier of the first anniversary of the Date of Grant or the first Annual Stockholders Meeting following the Date of Grant.
- F2After giving effect to the grant of Restricted Stock Units reported herein, includes 4,710 Restricted Stock Units.