-----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, NLhaN/0LrEDKMbFoV97yt0dJVKaKwtz0u2uY5Lvx9HByuU+lwgBp60UhilFiE8XA F7Mz4ZbsQq91C6V6SdZJmQ== 0001191475-04-000004.txt : 20040316 0001191475-04-000004.hdr.sgml : 20040316 20040316142523 ACCESSION NUMBER: 0001191475-04-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040131 FILED AS OF DATE: 20040316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOSTER KENT B CENTRAL INDEX KEY: 0001191475 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15274 FILM NUMBER: 04672072 BUSINESS ADDRESS: STREET 1: C/O INGRAM MICRO INC STREET 2: WORLDWIDE LEGAL DEPT 1600 E ST CITY: SANTA ANA STATE: CA ZIP: 92705 MAIL ADDRESS: STREET 1: C/O INGRAM MICRO INC WORLD WIDE L STREET 2: 1600 E ST ANDREW PLACE CITY: SANTA ANA STATE: CA ZIP: 92705 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: J C PENNEY CO INC CENTRAL INDEX KEY: 0001166126 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 260037077 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 6501 LEGACY DRIVE CITY: PLANO STATE: TX ZIP: 75024-3698 BUSINESS PHONE: 9722431100 FORMER COMPANY: FORMER CONFORMED NAME: J C PENNEY HOLDINGS INC DATE OF NAME CHANGE: 20020128 5 1 form5foster31604_ex.xml X0201 5 2004-01-31 0 0 0 0001166126 J C PENNEY CO INC JCP 0001191475 FOSTER KENT B 6501 LEGACY DRIVE PLANO TX 75024 1 0 0 0 Common Stock of 50 cent Par Value 10473 D PSU Dividend Equivalent Rights 2003-05-01 5 A 0 44.64 16.90 A Common Stock 44.64 6586.25 D PSU Dividend Equivalent Rights 2003-08-01 5 A 0 48.52 18.60 A Common Stock 48.52 6586.25 D PSU Dividend Equivalent Rights 2003-11-01 5 A 0 36.04 23.90 A Common Stock 36.04 6586.25 D PSU with DERS 2003-05-01 5 A 0 57.3301 16.69 A Common Stock 57.3301 724.9486 D PSU with DERS 2003-08-01 5 A 0 71.5918 18.74 A Common Stock 71.5918 724.9486 D PSU with DERS 2003-11-01 5 A 0 56.2948 23.99 A Common Stock 56.2948 724.9486 D Dividends accrued on a quarterly basis (Feb. 1, May 1, August 1, and November 1) under the Company's Deferred Compensation Plan for Directors, exempt under Rule 16a-11. Conversion price is one-for-one. ***Under continuing POA as filed with the S.E.C. ***Ralph H. Richardson 2004-03-16 -----END PRIVACY-ENHANCED MESSAGE-----