-----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, GWmYmK/5WfOD9NgcSSwbgNVjwzrRSHcYYw0t+KieRdvbntbUg+cjaAzLwJhnNb0g oJ06jK/egjFICyWClb13zw== 0001175742-04-000003.txt : 20040525 0001175742-04-000003.hdr.sgml : 20040525 20040525173925 ACCESSION NUMBER: 0001175742-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040524 FILED AS OF DATE: 20040525 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAYLESS SHOESOURCE INC /DE/ CENTRAL INDEX KEY: 0001060232 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661] IRS NUMBER: 431813160 STATE OF INCORPORATION: DE FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 3231 SOUTH EAST SIXTH STREET CITY: TOPEKA STATE: KS ZIP: 66607-2207 BUSINESS PHONE: 9132335171 MAIL ADDRESS: STREET 1: 3231 S E 6TH ST CITY: TOPEKA STATE: KS ZIP: 66607-2207 FORMER COMPANY: FORMER CONFORMED NAME: PAYLESS SHOESOURCE HOLDINGS INC DATE OF NAME CHANGE: 19980421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CANTRELL DUANE L CENTRAL INDEX KEY: 0001175742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14770 FILM NUMBER: 04830718 BUSINESS ADDRESS: STREET 1: 3231 S E SIXTH AVENUE CITY: TOPEKA STATE: KS ZIP: 66607 BUSINESS PHONE: 7852952087 MAIL ADDRESS: STREET 1: 3231 S E SIXTH AVENUE CITY: TOPEKA STATE: KS ZIP: 66607 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-05-24 0001060232 PAYLESS SHOESOURCE INC /DE/ PSS 0001175742 CANTRELL DUANE L PAYLESS SHOESOURCE, INC. 3231 S.E. SIXTH AVENUE TOPEKA KS 66607 1 1 0 0 President Common Stock 2004-05-24 4 F 0 375 15.66 D 40376 D Common Stock 6695 I 401(k) Plan Includes approximately 601shares held under the Payless ShoeSource, Inc. Stock Ownership Plan. Includes approximately 6,661 shares held under the Payless ShoeSource, Inc. 401(k) Profit Sharing Plan (the "Plan") based on a statement provided by the Plan Administrator. Because the Payless Common Stock Fund under the Plan holds both cash and Payless Common Stock, the actual number of shares allocable to each participant's account varies from statement to statement. Duane L. Cantrell 2004-05-24 -----END PRIVACY-ENHANCED MESSAGE-----