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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option to purchase common stock | $ 3.27 (1) | 09/07/2012 | D(2) | 105,919,060 | 09/11/2012(3) | 10/08/2012 | Common Stock | 23,100,000 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SEARS HOLDINGS CORP 3333 BEVERLY ROAD HOFFMAN ESTATES, IL 60179 |
X |
By: /s/ Charles J. Hansen, Vice President, Chief Counsel and Assistant Secretary | 09/11/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The price per whole share of Sears Hometown and Outlet Stores, Inc. common stock is $15.00. Each right will entitle its holder to purchase from Sears Holdings Corporation 0.218091 of a share of Sears Hometown and Outlet Stores, Inc. common stock. |
(2) | Sears Holdings Corporation is scheduled to distribute to all of the holders of Sears Holdings Corporation common stock of record as of September 7, 2012 rights to acquire all of the shares of Sears Hometown and Outlet Stores, Inc. common stock owned by Sears Holdings Corporation on September 11, 2012. Sears Holdings Corporation will retain the right to cancel these rights to acquire shares of Sears Hometown and Outlet Stores, Inc. common stock until October 8, 2012. |
(3) | Holders of the rights to acquire Sears Hometown and Outlet Stores, Inc. common stock may exercise such rights beginning on the date of distribution, which is scheduled for September 11, 2012. Once exercised, these rights will be irrevocable. However, no shares of Sears Hometown and Outlet Stores, Inc. common stock will be distributed to holders who elect to exercise such rights until after October 8, 2012. |