0001193125-15-037371.txt : 20150206 0001193125-15-037371.hdr.sgml : 20150206 20150206160458 ACCESSION NUMBER: 0001193125-15-037371 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20150206 DATE AS OF CHANGE: 20150206 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Zumiez Inc CENTRAL INDEX KEY: 0001318008 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-APPAREL & ACCESSORY STORES [5600] IRS NUMBER: 911040022 STATE OF INCORPORATION: WA FISCAL YEAR END: 0201 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-81394 FILM NUMBER: 15584522 BUSINESS ADDRESS: STREET 1: 4001 204TH STREET SW CITY: LYNNWOOD STATE: WA ZIP: 98036 BUSINESS PHONE: 425-551-1500 MAIL ADDRESS: STREET 1: 4001 204TH STREET SW CITY: LYNNWOOD STATE: WA ZIP: 98036 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Campion Thomas D CENTRAL INDEX KEY: 0001323607 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 SC 13G/A 1 d862092dsc13ga.htm SC 13G/A SC 13G/A

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(Amendment No. 9)*

 

 

Zumiez Inc.

(Name of Issuer)

 

 

Common Stock, no par value

(Title of Class of Securities)

989817101

(CUSIP Number)

December 31, 2014

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)

 

*   The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

 

CUSIP No. 989817101

 

  
  1. 

Names of Reporting Persons

 

Thomas D. Campion

  
  2.

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  ¨        (b)  ¨

 

  
  3.

SEC Use Only

 

  
  4.

Citizenship or Place of Organization

 

    United States of America

  

Number of

Shares

Beneficially

Owned by

Each

Reporting

Person

With

 5. 

Sole Voting Power

 

    3,574,877

  
6.

Shared Voting Power

 

    0

  
7.

Sole Dispositive Power

 

    3,574,877

  
8.

Shared Dispositive Power

 

    0

  

  9.

Aggregate Amount Beneficially Owned by Each Reporting Person

 

    3,574,877

  

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

 ¨

11.

Percent of Class Represented by Amount in Row (9)

 

    12.2%*

  

12.

Type of Reporting Person (See Instructions)

 

    IN

  

 

 

* Based on 29,225,293 shares of the Issuer’s Common Stock outstanding as of November 1, 2014 as reported on the Issuer’s Form 10-Q filed on December 9, 2014.

 

2

Item 1.

(a)

 Name of Issuer
Zumiez Inc. (the “Issuer”)

(b)

 Address of Issuer’s Principal Executive Offices

4001 204th Street SW

Lynnwood, Washington 98036

Item 2.

(a)

 Name of Person Filing
Thomas D. Campion

(b)

 Address of Principal Business Office or, if none, Residence

4001 204th Street SW

Lynnwood, Washington 98036

(c)

 Citizenship
United States of America

(d)

 Title of Class of Securities
Common Stock, no par value

(e)

CUSIP Number

 

989817101

Item 3.

 If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
(a) ¨ Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
(b) ¨ Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
(c) ¨ Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
(d) ¨ Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
(e) ¨ An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
(f) ¨ An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
(g) ¨ A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);
(h) ¨ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
(i) ¨ A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
(j) ¨ Group, in accordance with §240.13d-1(b)(1)(ii)(J).
Not Applicable.

 

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Item 4.

 Ownership
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified
in Item 1.
(a) Amount beneficially owned: See the response to Item 9 on the attached cover page.
(b) Percent of class: See the response to Item 11 on the attached cover page.
(c) Number of shares as to which the person has:
(i)

Sole power to vote or to direct the vote

 

See the response to Item 5 on the attached cover page.
(ii)

Shared power to vote or to direct the vote

 

See the response to Item 6 on the attached cover page.
(iii)

Sole power to dispose or to direct the disposition of

 

See the response to Item 7 on the attached cover page.

(iv)

Shared power to dispose or to direct the disposition of

 

See the response to Item 8 on the attached cover page

Item 5.

 Ownership of Five Percent or Less of a Class
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner
of more than five percent of the class of securities, check the following    ¨.
Not Applicable.

Item 6.

 Ownership of More than Five Percent on Behalf of Another Person
Not Applicable.

Item 7.

 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent
Holding Company or Control Person
Not Applicable.

Item 8.

 Identification and Classification of Members of the Group
Not Applicable.

Item 9.

 Notice of Dissolution of Group
Not Applicable.

Item 10.

 Certification
Not Applicable.

 

4

Signature

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

February 6, 2015

Date

/s/    THOMAS D. CAMPION        

Signature

Thomas D. Campion

Name/Title

 

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