-----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, LDbpbDSfDb7PcrvCyem+OCPYr5s8SFATltaR6j5WgxatNeeH8rjbuWfVYFcdpkqT XHg5JQavOyD4MZCUunDGYQ== 0001175747-06-000008.txt : 20061207 0001175747-06-000008.hdr.sgml : 20061207 20061207153105 ACCESSION NUMBER: 0001175747-06-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061206 FILED AS OF DATE: 20061207 DATE AS OF CHANGE: 20061207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LENTZ JAY A CENTRAL INDEX KEY: 0001175747 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14770 FILM NUMBER: 061262536 BUSINESS ADDRESS: BUSINESS PHONE: 7852952087 MAIL ADDRESS: STREET 1: 3231 S E SIXTH AVENUE CITY: TOPEKA STATE: KS ZIP: 66607 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: 7852335171 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 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2006-12-06 0001060232 PAYLESS SHOESOURCE INC /DE/ PSS 0001175747 LENTZ JAY A 3231 S.E. SIXTH AVENUE TOPEKA KS 66607 0 1 0 0 Senior Vice President Common Stock 2006-12-06 4 M 0 15000 16.0208 A 20809 D Common Stock 2006-12-06 4 M 0 6500 14.405 A 27309 D Common Stock 2006-12-06 4 S 0 15000 32.005 D 12309 D Common Stock 2006-12-06 4 S 0 6500 32.005 D 5809 D Common Stock 12095 I Shares held in Trust Employee Stock Option 16.0208 2006-12-06 4 M 0 15000 0 D 2010-03-10 Common Stock 15000 8400 D Employee Stock Option 14.405 2006-12-06 4 M 0 6500 0 D 2013-05-23 Common Stock 6500 0 D Grant of an option to buy 23,400 shares (adjusted for 3-1 stock split) of common stock under the Payless ShoeSource, Inc. 1996 Stock Incentive Plan which provides for tax withholding rights in a transaction exempt under Rule 16b-3. The option fully vested on May 14, 2003. Includes approximately 676 shares are held under the Payless ShoeSource, Inc. Stock Ownership Plan. Grant of an option to buy 6, 500 shares of common stock under the Payless ShoeSource, Inc. 1996 Stock Incentive Plan which provides for tax withholding rights in a transaction exempt under Rule 16b-3. The option fully vested on May 23, 2006. Shares held in a trust account. Originally reported on Form 4 as $14.47. Jay A. Lentz 2006-12-07 -----END PRIVACY-ENHANCED MESSAGE-----