0001209191-22-018278.txt : 20220311 0001209191-22-018278.hdr.sgml : 20220311 20220311183548 ACCESSION NUMBER: 0001209191-22-018278 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220310 FILED AS OF DATE: 20220311 DATE AS OF CHANGE: 20220311 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: 22734628 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: 0101 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 X0306 4 2022-03-10 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 Common Stock 2022-03-10 4 M 0 5662 18.55 A 141110 D Common Stock 7731 I By Trust Common Stock 38140 I By Trust Common Stock 57210 I By Trust Stock Option (Right to Buy) 18.55 2022-03-10 4 M 0 5662 0.00 D 2012-04-19 2022-04-18 Common Stock 5662 0 D Shares held by David T Kollat Trust. Shares held by Kollat Children's Trust f/b/o Andra Gillum. Shares held by Kollat Children's Trust f/b/o Lisa Adrion. The number of Stock Options and the exercise price have been adjusted to reflect the Issuer's November 1, 2013 two-for-one stock split. /s/ David Latchana, by Power of Attorney 2022-03-11