SEC Form 4 · accession 0001127602-19-010137
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
Mar 15, 2018
Accepted (ET)
Mar 6, 2019 · 11:03 am 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 | Mar 15, 2018 | F | 1,377 | $11.80 | D | 99,113 | 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 Right | $47.985 | holding | — | — | — | Mar 15, 2017 | Mar 15, 2024 | Common Stock | 18,368 | 18,368 | D |
Explanation of responses
- F1Consists of 72,011 Restricted Stock Units subject to a vesting schedule. This forfeiture was not previously reported, and the effect of the forfeiture was not reflected on the Form 4s filed for Randy Belcher on 4/17/2018 and 11/27/2018.