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