SEC Form 4 · accession 0001127602-16-068500
Fossil Group, Inc. · FOSL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steve Andrew Evans
Officer — Executive Vice President
Period of report
Nov 24, 2016
Accepted (ET)
Nov 28, 2016 · 5:23 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 StockF1 | Nov 24, 2016 | F | 971 | $0.00 | D | 29,149 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation Right | $101.365 | holding | — | — | — | Jul 15, 2015 | Jul 15, 2022 | Common Stock | 5,101 | 5,101 | D |
| Stock Appreciation Right | $80.215 | holding | — | — | — | Mar 15, 2016 | Mar 15, 2023 | Common Stock | 5,295 | 5,295 | D |
| Stock Appreciation Right | $47.985 | holding | — | — | — | Mar 15, 2017 | Mar 15, 2024 | Common Stock | 10,287 | 10,287 | D |
| Stock Appreciation Right | $29.49 | holding | — | — | — | Jul 15, 2017 | Jul 15, 2024 | Common Stock | 48,134 | 48,134 | D |
Explanation of responses
- F1Consists of 25,435 Restricted Stock Units and also includes 355 shares held through a 401k plan