0001179110-11-016113.txt : 20111206 0001179110-11-016113.hdr.sgml : 20111206 20111206135311 ACCESSION NUMBER: 0001179110-11-016113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111205 FILED AS OF DATE: 20111206 DATE AS OF CHANGE: 20111206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Campion Thomas D CENTRAL INDEX KEY: 0001323607 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51300 FILM NUMBER: 111245413 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 2011-12-05 0 0001318008 Zumiez Inc ZUMZ 0001323607 Campion Thomas D 6300 MERRILL CREEK PARKWAY SUITE B EVERETT WA 98203 1 1 1 0 Chairman of Board of Directors Common stock 2011-12-05 4 S 0 33423 30.0057 D 5230459 D This transaction was executed in multiple trades at prices ranging from $30.00 to $30.02. The price reported above reflects the weighted average sales price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer the detailed information regarding the number of shares sold at each separate price. Reflects shares of common stock held by grantor retained annuity trusts for which Thomas D. Campion is Trustee. Chris K. Visser, Attorney-in-Fact 2011-12-06