SEC Form 4/A · accession 0001127602-17-013823
Fossil Group, Inc. · FOSL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Randy Belcher
Officer — Executive Vice President
Period of report
Mar 13, 2017
Accepted (ET)
Apr 4, 2017 · 3:02 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 Stock | Mar 13, 2017 | D | 541 | $13.65 | D | 45,131 | D | |
| Common Stock | Mar 13, 2017 | F | 33 | $16.64 | D | 45,098 | D | |
| Common Stock | Mar 13, 2017 | M | 660 | $13.65 | A | 45,791 | D | |
| Common StockF1 | Mar 15, 2017 | F | 2,689 | $16.42 | D | 43,069 | 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 | $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 RightF2 | $13.65 | holding | — | — | — | Mar 13, 2017 | Mar 13, 2017 | Common Stock | 0 | 0 | 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 24,601 restricted stock units.
- F2The exercise of 660 stock appreciation rights on March 13, 2017 is reflected on the original Form 4 filed on March 15, 2017. The balance of stock appreciation rights for this grant is 0.