SEC Form 4
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*
KERCHO RANDY

(Last) (First) (Middle)
2280 N. GREENVILLE

(Street)
RICHARDSON TX 75082

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FOSSIL INC [ FOSL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
3. Date of Earliest Transaction (Month/Day/Year)
02/23/2004
4. 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 Acquired, Disposed of, or Beneficially Owned
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
Common Stock(1) 02/23/2004 A 4,500(2) A $0 28,875 D
Common Stock 13,500 I Custodian for minor child
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Stock Options (Right to buy) $1.3087 01/10/1997 01/10/2006 Common Stock 22,275 22,275 D
Stock Options (Right to buy) $1.6297 08/30/1996 08/30/2006 Common Stock 126,567 126,567 D
Stock Options (Right to buy) $2.4692 02/06/1998 02/06/2007 Common Stock 50,628 50,628 D
Stock Options (Right to buy) $2.5803 01/03/1996 01/03/2005 Common Stock 37,968 37,968 D
Stock Options (Right to buy) $4.3333 01/12/1999 01/12/2008 Common Stock 75,937 75,937 D
Stock Options (Right to buy) $4.9723 10/25/2003 10/25/2010 Common Stock 56,248 56,248 D
Stock Options (Right to buy) $7.1111 02/02/2002 02/02/2010 Common Stock 44,998 44,998 D
Stock Options (Right to buy) $8.0185 02/12/2001 02/12/2009 Common Stock 50,626 50,626 D
Stock Options (Right to buy) $9.2223 01/14/2006 01/14/2012 Common Stock 56,249 56,249 D
Stock Options (Right to buy) $11.6667 02/24/2004 02/24/2013 Common Stock 37,500 37,500 D
Stock Options (Right to buy) $19.1333 02/23/2004 A 33,749 02/23/2005(3) 02/23/2014 Common Stock 33,749 $0 33,749 D
Explanation of Responses:
1. Restricted Stock
2. Shares issued pursuant to 2002 Resticted Stock Plan of Fossil, Inc., subject to the following schedule: 20% each on 2/23/2005, 2/23/2006, 2/23/2007, 2/23/2008, and 2/23/2009.
3. As to 20% each on 02/23/05, 02/23/06, 02/23/07, 02/23/08 and 02/23/09
RANDY S KERCHO 05/26/2004
** 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 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.