0001179110-12-003915.txt : 20120301 0001179110-12-003915.hdr.sgml : 20120301 20120301184001 ACCESSION NUMBER: 0001179110-12-003915 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090622 FILED AS OF DATE: 20120301 DATE AS OF CHANGE: 20120301 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: 12659535 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 2009-06-22 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 2009-06-22 5 G 0 E 5400 0 D 5018409 D Reflects gift of shares by reporting person to his adult children on June 22, 2009. Reflects shares of common stock held by grantor retained annuity trusts for which Thomas D. Campion is Trustee. Chris K. Visser, Attorney-in-Fact 2012-03-01