0001181431-13-034668.txt : 20130613
0001181431-13-034668.hdr.sgml : 20130613
20130613124955
ACCESSION NUMBER: 0001181431-13-034668
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130612
FILED AS OF DATE: 20130613
DATE AS OF CHANGE: 20130613
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HS ANNUITY TRUST
CENTRAL INDEX KEY: 0001548785
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35535
FILM NUMBER: 13910702
BUSINESS ADDRESS:
STREET 1: C/O TILLY'S, INC.
STREET 2: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: (949) 609-5599
MAIL ADDRESS:
STREET 1: C/O TILLY'S, INC.
STREET 2: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
rrd383341.xml
HS ANNUITY F4
X0306
4
2013-06-12
0
0001524025
TILLY'S, INC.
TLYS
0001548785
HS ANNUITY TRUST
C/O TILLY'S, INC.
10 WHATNEY
IRVINE
CA
92618
0
0
1
0
CLASS A COMMON STOCK
2013-06-12
4
C
0
1315
0
A
1315
D
CLASS A COMMON STOCK
2013-06-12
4
S
0
1315
16.25
D
0
D
CLASS B COMMON STOCK
2013-06-12
4
C
0
1315
0
D
CLASS A COMMON STOCK
1315
1728735
D
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 of Class B Common Stock reported on this line item converted into shares of the Issuer's Class A Common Stock on a one-for-one basis upon the election of the Reporting Person.
/s/ Christopher M. Lal, Attorney-in-Fact for Netta Schroer and Amy Shaked, Co-Trustees of the HS Annuity Trust
2013-06-12