SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Nordeen Jon K

(Last) (First) (Middle)
N56 W17000 RIDGEWOOD DRIVE

(Street)
MENOMONEE FALLS WI 53051

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2004
3. Issuer Name and Ticker or Trading Symbol
KOHLS CORPORATION [ KSS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 8,000 D
Common Stock 222.735 I Held in reporting person's 401(k) Account
Common Stock 12.893 I Held in reporting person's Employee Stock Ownership Plan Account
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Options (1) 01/22/2016 Common Stock 30,000 $68.5 D
Employee Stock Options (2) 01/30/2017 Common Stock 14,000 $66.3 D
Employee Stock Options (3) 02/13/2018 Common Stock 15,000 $50.39 D
Employee Stock Options (4) 02/25/2019 Common Stock 15,000 $49.56 D
Explanation of Responses:
1. Vesting occurs in four approximately equal installments on each of the second through fifth anniversaries of the January 22, 2001 grant date.
2. Vesting occurs in four approximately equal installments on each of the first through fourth anniversaries of the January 30, 2002 grant date.
3. Vesting occurs in four approximately equal installments on each of the first through fourth anniversaries of the February 13, 2003 grant date.
4. Vesting occurs in four approximately equal installments on each of the first through fourth anniversaries of the February 25, 2004 grant date.
Remarks:
Jon K. Nordeen 07/01/2004
** 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 5 (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.