-----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, AEdMbDqH2b1eWMHrs7LNxDdVl6Z+Ae93TMXObzdsaZHtP5Au+nBvbOAH66ezOudN 0zJfXdq+ToxXQoT8BsAnaA== 0001209191-09-006565.txt : 20090204 0001209191-09-006565.hdr.sgml : 20090204 20090204123457 ACCESSION NUMBER: 0001209191-09-006565 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090202 FILED AS OF DATE: 20090204 DATE AS OF CHANGE: 20090204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOLLAT DAVID T CENTRAL INDEX KEY: 0001015790 STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06024 FILM NUMBER: 09567523 BUSINESS ADDRESS: STREET 1: C/O 22, INC. STREET 2: 4410 SMOTHERS ROAD CITY: WESTERVILLE STATE: OH ZIP: 43081 BUSINESS PHONE: 6145230041 MAIL ADDRESS: STREET 1: 9341 COURTLAND DR CITY: ROCKFORD STATE: MI ZIP: 49351 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WOLVERINE WORLD WIDE INC /DE/ CENTRAL INDEX KEY: 0000110471 STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140] IRS NUMBER: 381185150 STATE OF INCORPORATION: MI FISCAL YEAR END: 0103 BUSINESS ADDRESS: STREET 1: 9341 COURTLAND DR CITY: ROCKFORD STATE: MI ZIP: 49351 BUSINESS PHONE: 6168665500 MAIL ADDRESS: STREET 1: 9341 COURTLAND DR CITY: ROCKFORD STATE: MI ZIP: 49351 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-02-02 0 0000110471 WOLVERINE WORLD WIDE INC /DE/ WWW 0001015790 KOLLAT DAVID T C/O 9341 COURTLAND DRIVE NE ROCKFORD MI 49351 1 0 0 0 Phantom Stock 2009-02-02 4 A 0 136.34 17.89 A Common Stock 136.34 22310.57 D Award of phantom stock pursuant to Outside Directors' Deferred Compensation Plan. Shares of common stock are issuable on a one-for-one basis in either a lump sum or installments after termination of service as a director or upon a change in control of the company. /s/ Blake W. Krueger, by Power of Attorney 2009-02-04 -----END PRIVACY-ENHANCED MESSAGE-----