FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
COST PLUS INC/CA/ [ CPWM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/29/2012 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Cost Plus Common Stock | 06/29/2012 | U | 11,765(1) | D | $22 | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option | $19.17 | 06/29/2012 | D | 10,000 | (2) | (2) | Cost Plus Common Stock | (2) | $2.83 | 0 | D | ||||
Employee Stock Option | $9.38 | 06/29/2012 | D | 10,000 | (2) | (2) | Cost Plus Common Stock | (2) | $12.62 | 0 | D | ||||
Employee Stock Option | $4.1 | 06/29/2012 | D | 30,000 | (2) | (2) | Cost Plus Common Stock | (2) | $17.9 | 0 | D | ||||
Employee Stock Option | $3.61 | 06/29/2012 | D | 35,000 | (2) | (2) | Cost Plus Common Stock | (2) | $18.39 | 0 | D | ||||
Employee Stock Option | $0.89 | 06/29/2012 | D | 35,000 | (2) | (2) | Cost Plus Common Stock | (2) | $21.11 | 0 | D | ||||
Employee Stock Option | $4.86 | 06/29/2012 | D | 45,000 | (2) | (2) | Cost Plus Common Stock | (2) | $17.14 | 0 | D | ||||
Employee Stock Option | $10.55 | 06/29/2012 | D | 45,000 | (2) | (2) | Cost Plus Common Stock | (2) | $11.45 | 0 | D | ||||
Employee Stock Option | $18.33 | 06/29/2012 | D | 45,000 | (2) | (2) | Cost Plus Common Stock | (2) | $3.67 | 0 | D |
Explanation of Responses: |
1. All shares held by the filing person were paid for in connection with the change of control which occurred upon the acceptance of shares pursuant to the tender offer (the "Offer"), which was launched in connection with the Agreement and Plan of Merger, dated as of May 8, 2012 (the "Merger Agreement"), by and among Bed Bath & Beyond Inc., a New York corporation ("BBBY"), and Blue Coral Acquisition Corp., a California corporation and a direct wholly owned subsidiary of BBBY ("Purchaser") and Cost Plus, Inc. (the "Company"). On June 29, 2012, all shares which were tendered by the filing person in connection with the Offer were accepted for payment by Purchaser. |
2. Pursuant to the Merger Agreement, all options held by the filing person were canceled in connection with the merger of Purchaser with and into the Company, effective June 29, 2012, in exchange for the right to receive cash equal to the product of (x) the excess, if any, of the merger consideration of $22.00 per share over the exercise price per share of the option multiplied by (y) the number of shares subject to the option. |
Jane Baughman | 06/29/2012 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |