0001209191-11-050539.txt : 20111005
0001209191-11-050539.hdr.sgml : 20111005
20111005104840
ACCESSION NUMBER: 0001209191-11-050539
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111003
FILED AS OF DATE: 20111005
DATE AS OF CHANGE: 20111005
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: 111125908
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: 0102
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
X0304
4
2011-10-03
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
2011-10-03
4
A
0
361.06
34.62
A
Common Stock
361.06
27813.37
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/ Timothy E. Foley, by Power of Attorney
2011-10-05