0001181431-13-039221.txt : 20130708
0001181431-13-039221.hdr.sgml : 20130708
20130708195633
ACCESSION NUMBER: 0001181431-13-039221
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: HS ANNUITY TRUST
CENTRAL INDEX KEY: 0001548785
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35535
FILM NUMBER: 13958439
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
rrd385491.xml
HS ANNUITY F4
X0306
4
2013-07-05
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
2013-07-05
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 HS Annuity Trust
2013-07-08