0001548309-17-000009.txt : 20170201
0001548309-17-000009.hdr.sgml : 20170201
20170201171123
ACCESSION NUMBER: 0001548309-17-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170130
FILED AS OF DATE: 20170201
DATE AS OF CHANGE: 20170201
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SEARS HOMETOWN & OUTLET STORES, INC.
CENTRAL INDEX KEY: 0001548309
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311]
IRS NUMBER: 800808358
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0201
BUSINESS ADDRESS:
STREET 1: 5500 TRILLIUM BOULEVARD
STREET 2: SUITE 501
CITY: HOFFMAN ESTATES
STATE: IL
ZIP: 60192
BUSINESS PHONE: 847-286-7000
MAIL ADDRESS:
STREET 1: 5500 TRILLIUM BOULEVARD
STREET 2: SUITE 501
CITY: HOFFMAN ESTATES
STATE: IL
ZIP: 60192
FORMER COMPANY:
FORMER CONFORMED NAME: Sears Hometown & Outlet Stores, Inc.
DATE OF NAME CHANGE: 20120425
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Etter Philip Mark
CENTRAL INDEX KEY: 0001667162
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35641
FILM NUMBER: 17565766
MAIL ADDRESS:
STREET 1: 5500 TRILLIUM BLVD., SUITE 501, E5-112B
STREET 2: ELM BUILDING ENTRANCE
CITY: HOFFMAN ESTATES
STATE: IL
ZIP: 60012
4
1
wf-form4_148598707007327.xml
FORM 4
X0306
4
2017-01-30
0
0001548309
SEARS HOMETOWN & OUTLET STORES, INC.
SHOS
0001667162
Etter Philip Mark
5500 TRILLIUM BOULEVARD
SUITE 501
HOFFMAN ESTATES
IL
60192
0
1
0
0
VP Human Resources
Phantom Stock (stock units)
0.0
2017-01-30
4
A
0
8500
0
A
2020-01-30
2020-01-30
Common Stock
8500.0
15215
D
Each share of Phantom Stock (stock units) is the economic equivalent of one share of the Company's common stock.
The shares of Phantom Stock (stock units) vest in three (3) substantially equal installments on the first, second and third anniversaries of the transaction date.
/s/ Charles J. Hansen, as Attorney-in-Fact for Philip M. Etter
2017-02-01