0001179110-11-012975.txt : 20110906 0001179110-11-012975.hdr.sgml : 20110905 20110906174128 ACCESSION NUMBER: 0001179110-11-012975 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110902 FILED AS OF DATE: 20110906 DATE AS OF CHANGE: 20110906 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kilbourne Lynn K CENTRAL INDEX KEY: 0001323609 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51300 FILM NUMBER: 111076640 MAIL ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Zumiez Inc CENTRAL INDEX KEY: 0001318008 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-APPAREL & ACCESSORY STORES [5600] IRS NUMBER: 911040022 STATE OF INCORPORATION: WA FISCAL YEAR END: 0202 BUSINESS ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 BUSINESS PHONE: 425-551-1550 MAIL ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 4 1 edgar.xml FORM 4 - X0304 4 2011-09-02 0 0001318008 Zumiez Inc ZUMZ 0001323609 Kilbourne Lynn K 6300 MERRILL CREEK PARKWAY SUITE B EVERETT WA 98203 0 1 0 0 President & GMM Common Stock 2011-09-02 4 F 0 2161 17.46 D 51478 D Shares withheld by Zumiez to pay taxes on vesting of restricted stock Chris K. Visser, Attorney-in-Fact 2011-09-06