SEC Form 4 · accession 0001127602-16-068512
Fossil Group, Inc. · FOSL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Randy Belcher
Officer — Executive Vice President
Period of report
Nov 24, 2016
Accepted (ET)
Nov 28, 2016 · 5:40 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 | 2,184 | $0.00 | D | 45,672 | 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 | $13.65 | holding | — | — | — | Mar 15, 2010 | Mar 15, 2017 | Common Stock | 660 | 660 | D |
| Stock Appreciation Right | $81.23 | holding | — | — | — | Mar 15, 2012 | Mar 15, 2019 | Common Stock | 3,477 | 3,477 | D |
| Stock Appreciation Right | $127.835 | holding | — | — | — | Mar 15, 2013 | Mar 15, 2020 | Common Stock | 1,595 | 1,595 | D |
| Stock Appreciation Right | $106.395 | holding | — | — | — | Mar 15, 2014 | Mar 15, 2021 | Common Stock | 1,640 | 1,640 | D |
| Stock Appreciation Right | $113.04 | holding | — | — | — | Mar 15, 2015 | Mar 15, 2022 | Common Stock | 8,824 | 8,824 | D |
| Stock Appreciation Right | $80.215 | holding | — | — | — | Mar 15, 2016 | Mar 15, 2023 | Common Stock | 9,610 | 9,610 | D |
| Stock Appreciation Right | $80.215 | holding | — | — | — | Mar 15, 2016 | Mar 15, 2023 | Common Stock | 1,202 | 1,202 | D |
| Stock Appreciation Right | $47.985 | holding | — | — | — | Mar 15, 2017 | Mar 15, 2024 | Common Stock | 18,368 | 18,368 | D |
Explanation of responses
- F1Consists of 31,004 Restricted Stock Units