0001209191-16-155920.txt : 20161219
0001209191-16-155920.hdr.sgml : 20161219
20161219163239
ACCESSION NUMBER: 0001209191-16-155920
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161216
FILED AS OF DATE: 20161219
DATE AS OF CHANGE: 20161219
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: 0201
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: LEVINE TILLY
CENTRAL INDEX KEY: 0001548775
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35535
FILM NUMBER: 162059316
MAIL ADDRESS:
STREET 1: C/O TILLY'S, INC.
STREET 2: 10 WHATNEY
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-12-16
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
2016-12-16
4
C
0
5000
0.00
A
5000
I
By Trust 1
Class A Common Stock
2016-12-16
4
S
0
5000
13.9983
D
0
I
By Trust 1
Class A Common Stock
2016-12-16
4
C
0
5000
0.00
A
5000
I
By Trust 2
Class A Common Stock
2016-12-16
4
S
0
5000
13.9983
D
0
I
By Trust 2
Class B Common Stock
2016-12-16
4
C
0
5000
0.00
D
Class A Common Stock
5000
409386
I
By Trust 1
Class B Common Stock
2016-12-16
4
C
0
5000
0.00
D
Class A Common Stock
5000
409386
I
By Trust 2
Class B Common Stock
Class A Common Stock
4363147
4363147
D
Represents shares of Class A Common Stock held by trusts of which the Reporting Person is trustee and an immediate family member is the beneficiary. The Reporting Person disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein, if any.
The sales reported in this Form 4 were effected pursuant to a 10b5-1 trading plan adopted by the trust, of which the Reporting Person is trustee and an immediate family member is the beneficiary, on April 1, 2016 in accordance with Rule 10b5-1 of the Securities Exchange Act of 1934, as amended.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $13.78 to $14.34, 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 sold at each separate price within the ranges set forth in this footnote.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $13.78 to $14.36, 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 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.
Represents shares of Class B Common Stock held by trusts of which the Reporting Person is trustee and an immediate family member is the beneficiary. The Reporting Person disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein, if any.
/s/ Michael L. Henry, Attorney-in-Fact for Tilly Levine
2016-12-19