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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/19/2010 |
3. Issuer Name and Ticker or Trading Symbol
PACIFIC SUNWEAR OF CALIFORNIA INC [ PSUN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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(1) | 31,998 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Incentive Stock Options(2) | 03/15/2007 | 03/15/2013 | Common Stock | 10,000 | $22.69 | D | |
Non-Qualified Stock Option(3) | 04/16/2011 | 04/16/2016 | Common Stock | 117,650 | $1.64 | D | |
Non-Qualified Stock Options(4) | 01/11/2006 | 01/11/2015 | Common Stock | 5,000 | $23.31 | D | |
Stock Appreciation Rights(5) | 04/16/2010 | 04/16/2016 | Common Stock | 25,000 | $1.64 | D | |
Stock Appreciation Rights(5) | 03/25/2009 | 03/25/2015 | Common Stock | 25,000 | $13.19 | D | |
Stock Appreciation Rights(5) | 04/02/2008 | 04/02/2014 | Common Stock | 20,000 | $20.86 | D |
Explanation of Responses: |
1. Consists of a restricted stock award previously granted to the reporting person. Each restricted stock award represents a contingent right to receive one share of the issuer's common stock. Awards are scheduled to vest over a four year period, with 25% of the shares vesting one year from the grant date and 25% of the shares vesting each succeeding anniversary until all shares have vested. |
2. Incentive Stock Option grant of which 25% of the shares vested one year from the grant date and the remaining 75% of the shares vest on a monthly basis over the following 3 years. |
3. Non-Qualified Option grant of which 50% of the shares vest on the second anniversary of the grant date and 50% vest on the third anniversary of the grant date. |
4. Non-Qualified Option grant of which 25% of the shares vested one year from the grant date and the remaining 75% of the shares vested on a monthly basis over the following 3 years. |
5. Stock Appreciation Rights scheduled to vest over a four year period, with 25% of the rights vesting one year from the grant date and 25% of the rights vesting each succeeding anniversary until all shares have vested. |
Remarks: |
/s/ Charles Mescher | 01/26/2010 | |
** 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. |