0001181431-13-039220.txt : 20130708 0001181431-13-039220.hdr.sgml : 20130708 20130708195509 ACCESSION NUMBER: 0001181431-13-039220 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130705 FILED AS OF DATE: 20130708 DATE AS OF CHANGE: 20130708 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: TL ANNUITY TRUST CENTRAL INDEX KEY: 0001548782 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35535 FILM NUMBER: 13958438 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 rrd385489.xml TL ANNUITY F4 X0306 4 2013-07-05 0 0001524025 TILLY'S, INC. TLYS 0001548782 TL ANNUITY TRUST C/O TILLY'S, INC. 10 WHATNEY IRVINE CA 92618 0 0 1 0 CLASS A COMMON STOCK 2013-07-05 4 C 0 2124 0 A 2124 D CLASS A COMMON STOCK 2013-07-05 4 S 0 2124 16.0005 D 0 D CLASS B COMMON STOCK 2013-07-05 4 C 0 2124 0 D CLASS A COMMON STOCK 2124 1701228 D The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $16.00 to $16.01, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder, or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold 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 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 TL Annuity Trust 2013-07-08