-----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, BfISIhEJPXEpvAl1gTkqym1Iyr9NBWAR43/4JK32cd4aCLpPG9kpR/e139Wmc38k B2vKFgsgHU/54ezeIeJYNw== 0001175751-04-000005.txt : 20040528 0001175751-04-000005.hdr.sgml : 20040528 20040528125632 ACCESSION NUMBER: 0001175751-04-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040527 FILED AS OF DATE: 20040528 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: WHEELER ROBERT C CENTRAL INDEX KEY: 0001175751 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14770 FILM NUMBER: 04837566 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 2004-05-27 0001060232 PAYLESS SHOESOURCE INC /DE/ PSS 0001175751 WHEELER ROBERT C 3231 S.E. SIXTH AVENUE TOPEKA KS 66607 1 0 0 0 Phantom Stock Units 0 2004-05-27 4 A 0 2215 0 A Common Stock 2215 10786 D These phantom stock units were acquired under the Company's Deferred Compensation and Restricted Stock Plans for Non-Management Directors and will be settled in shares of stock on a one-for-one basis following termination of service as a Director. Robert C. Wheeler 2004-05-27 -----END PRIVACY-ENHANCED MESSAGE-----