0001548309-17-000014.txt : 20170201 0001548309-17-000014.hdr.sgml : 20170201 20170201171245 ACCESSION NUMBER: 0001548309-17-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170130 FILED AS OF DATE: 20170201 DATE AS OF CHANGE: 20170201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SEARS HOMETOWN & OUTLET STORES, INC. CENTRAL INDEX KEY: 0001548309 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 800808358 STATE OF INCORPORATION: DE FISCAL YEAR END: 0201 BUSINESS ADDRESS: STREET 1: 5500 TRILLIUM BOULEVARD STREET 2: SUITE 501 CITY: HOFFMAN ESTATES STATE: IL ZIP: 60192 BUSINESS PHONE: 847-286-7000 MAIL ADDRESS: STREET 1: 5500 TRILLIUM BOULEVARD STREET 2: SUITE 501 CITY: HOFFMAN ESTATES STATE: IL ZIP: 60192 FORMER COMPANY: FORMER CONFORMED NAME: Sears Hometown & Outlet Stores, Inc. DATE OF NAME CHANGE: 20120425 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HANSEN CHARLES CENTRAL INDEX KEY: 0001260375 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35641 FILM NUMBER: 17565784 MAIL ADDRESS: STREET 1: 5500 TRILLIUM BOULEVARD STREET 2: SUITE 501 CITY: HOFFMAN ESTATES STATE: IL ZIP: 60192 4 1 wf-form4_148598715266653.xml FORM 4 X0306 4 2017-01-30 0 0001548309 SEARS HOMETOWN & OUTLET STORES, INC. SHOS 0001260375 HANSEN CHARLES 5500 TRILLIUM BOULEVARD SUITE 501 HOFFMAN ESTATES IL 60192 0 1 0 0 VP General Counsel & Secretary Phantom Stock (stock units) 0.0 2017-01-30 4 A 0 15000 0 A 2020-01-30 2020-01-30 Common Stock 15000.0 15000 D Each share of Phantom Stock (stock units) is the economic equivalent of one share of the Company's common stock. The shares of Phantom Stock (stock units) vest in three (3) substantially equal installments on the first, second and third anniversaries of the transaction date. By: /s/ Charles J. Hansen 2017-02-01