0001181431-13-036499.txt : 20130624
0001181431-13-036499.hdr.sgml : 20130624
20130624204541
ACCESSION NUMBER: 0001181431-13-036499
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130618
FILED AS OF DATE: 20130624
DATE AS OF CHANGE: 20130624
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: 13930706
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
rrd384275.xml
HS ANNUITY TRUST F4
X0306
4
2013-06-18
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
2013-06-18
4
C
0
195
0
A
195
D
CLASS A COMMON STOCK
2013-06-18
4
S
0
195
16.00
D
0
D
CLASS B COMMON STOCK
2013-06-18
4
C
0
195
0
D
CLASS A COMMON STOCK
195
1714466
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 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
2013-06-24