0001181431-12-062914.txt : 20121206
0001181431-12-062914.hdr.sgml : 20121206
20121206180437
ACCESSION NUMBER: 0001181431-12-062914
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121204
FILED AS OF DATE: 20121206
DATE AS OF CHANGE: 20121206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEVINE TILLY
CENTRAL INDEX KEY: 0001548775
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35535
FILM NUMBER: 121247730
MAIL ADDRESS:
STREET 1: C/O TILLY'S, INC.
STREET 2: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TILLY'S, INC.
CENTRAL INDEX KEY: 0001524025
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-APPAREL & ACCESSORY STORES [5600]
IRS NUMBER: 452164791
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: (949) 609-5599
MAIL ADDRESS:
STREET 1: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
rrd362426.xml
TILLY F4 12-4-12
X0306
4
2012-12-04
0
0001524025
TILLY'S, INC.
TLYS
0001548775
LEVINE TILLY
C/O TILLY'S, INC.
10 WHATNEY
IRVINE
CA
92618
0
0
1
0
Class A Common Stock
2012-12-04
4
C
0
44309
0
A
44309
D
Class A Common Stock
2012-12-04
4
S
0
44309
13.1722
D
0
D
Class A Common Stock
2012-12-05
4
C
0
50000
0
A
50000
D
Class A Common Stock
2012-12-05
4
S
0
50000
13.2729
D
0
D
Class B Common Stock
2012-12-04
4
C
0
44309
0
D
Class A Common Stock
44309
5269910
D
Class B Common Stock
2012-12-05
4
C
0
50000
0
D
Class A Common Stock
50000
5219910
D
The price reported in Column 4 is a weighted average price. These shares were acquired in multiple transactions at prices ranging from $13.00 to $13.25, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares acquired at each separate price within the ranges set forth in this footnote.
Class B Common Stock has no expiration date and, subject to certain events, is automatically convertible on a one-for-one basis into shares of Class A Common Stock.
The shares reported in Box 9 are held in The Tilly Levine Separate Property Trust under which the Reporting Person is trustee and beneficiary. The Reporting Person is a party to a voting trust agreement with Hezy Shaked, an officer and director of the Issuer, granting Mr. Shaked, as trustee under such agreement, the right to vote the shares of Class A Common Stock and Class B Common Stock held by the Reporting Person (collectively, the "Shares"). Mr. Shaked does not have any pecuniary interest in such Shares and this disclaims beneficial ownership of such Shares.
The price reported in Column 4 is a weighted average price. These shares were acquired in multiple transactions at prices ranging from $13.19 to $13.39, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares acquired at each separate price within the ranges set forth in this footnote.
/s/ Chris Lal, Attorney-in-Fact for Tilly Levine
2012-12-06