-----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, VdC+a7gM1fJUXbUq0iShvO3VSr3PhshbS+iiNsueT7zikhS9996KelhEFH2IK82V dsQ0w16YVuqk9CcJQ5vUUA== 0001222503-04-000019.txt : 20041001 0001222503-04-000019.hdr.sgml : 20041001 20041001174320 ACCESSION NUMBER: 0001222503-04-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040929 FILED AS OF DATE: 20041001 DATE AS OF CHANGE: 20041001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DABAH EZRA CENTRAL INDEX KEY: 0001055163 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23071 FILM NUMBER: 041059747 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 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: 915 SECAUCUS RD CITY: SECAUCUS STATE: NJ ZIP: 07094 BUSINESS PHONE: 2015582400 MAIL ADDRESS: STREET 1: 915 SECAUCUS RD CITY: SECAUCUS STATE: NJ ZIP: 07094 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-09-29 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, Par Value $.10 2004-09-29 4 G 0 25000 23.61 D 5787070 D 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) 2,256,850 shares 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 by Mr. Silverstein's profit sharing account; and (iii) 111,000 shares directly owned by Raine Silverstein, Mr. Dabah's mother-in-law. Ezra Dabah 2004-10-01 -----END PRIVACY-ENHANCED MESSAGE-----