0001179110-11-016468.txt : 20111212 0001179110-11-016468.hdr.sgml : 20111212 20111212121447 ACCESSION NUMBER: 0001179110-11-016468 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111208 FILED AS OF DATE: 20111212 DATE AS OF CHANGE: 20111212 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: 111255544 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 2011-12-08 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 2011-12-08 4 S 0 31640 30.00 D 5150980 D Reflects shares of common stock held by grantor retained annuity trusts for which Thomas D. Campion is Trustee. Chris K. Visser, Attorney-in-Fact 2011-12-12