-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FpZrGStCOmwgTk5QvQEP02hOittX75GisCgH9AWUnXY1enazVujmnALp0p4s35hE 64xVzKhtL3wst8O+QVSqBA== 0001144204-04-001517.txt : 20040213 0001144204-04-001517.hdr.sgml : 20040213 20040213181957 ACCESSION NUMBER: 0001144204-04-001517 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040131 FILED AS OF DATE: 20040213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHILDRENS PLACE RETAIL STORES INC CENTRAL INDEX KEY: 0001041859 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] IRS NUMBER: 311241495 FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: ONE DODGE DR CITY: CALDWELL STATE: NJ ZIP: 07006 BUSINESS PHONE: 9732278900 MAIL ADDRESS: STREET 1: ONE DODGE DR CITY: CALDWELL STATE: NJ ZIP: 07006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DABAH EZRA CENTRAL INDEX KEY: 0001055163 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23071 FILM NUMBER: 04601375 BUSINESS ADDRESS: STREET 1: CHILDRENS PLACE RETAIL STORES INC STREET 2: ONE DODGE DRIVE CITY: WEST CALDWELL STATE: NJ ZIP: 07006 BUSINESS PHONE: 9732278900 MAIL ADDRESS: STREET 2: ONE DODGE DR CITY: WEST CALDWELL STATE: NJ ZIP: 07006 5 1 v01627_ex.xml X0201 5 2004-01-31 0 0 0 0001041859 CHILDRENS PLACE RETAIL STORES INC PLCE 0001055163 DABAH EZRA 915 SECAUCUS ROAD SECAUCUS NJ 07094 1 1 1 0 Chairman and CEO Common Stock 2003-05-14 5 G 0 25000 14.26 D 6012070 D (1) Includes (i) 3,392,960 shares held by trusts or custodial accounts for the benefit of Mr. Dabah's children and certain other family members, of which Mr. Dabah or his wife is a trustee or custodian and as to which Mr. Dabah or his wife, as the case may be, has voting control, and as to which shares Mr. Dabah disclaims beneficial ownership, (ii) 2,481,850 held in Mr. Dabah's own name; (iii) 37,600 shares held by Mr. Dabah's wife, and (iv) 99,660 shares subject to options which are currently exercisable. Does not include (i) 496,000 shares directly owned by Stanley Silverstein, Mr. Dabah's father-in-law, (ii) 7,000 shares held in Mr. Silverstein's profit sharing account, and (iii) 111,000 shares directly owned by Raine Silverstein, Mr. Dabah's mother-in-law. /s/ Ezra Dabah 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----