0001548309-19-000040.txt : 20190225 0001548309-19-000040.hdr.sgml : 20190225 20190225162645 ACCESSION NUMBER: 0001548309-19-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190222 FILED AS OF DATE: 20190225 DATE AS OF CHANGE: 20190225 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: 19629853 MAIL ADDRESS: STREET 1: 5500 TRILLIUM BLVD., SUITE 501, E5-112B STREET 2: ELM BUILDING ENTRANCE CITY: HOFFMAN ESTATES STATE: IL ZIP: 60012 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: 0202 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 4 1 wf-form4_155112999098197.xml FORM 4 X0306 4 2019-02-22 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 2019-02-22 4 A 0 14489 0 A 2020-01-30 2022-01-30 Common Stock 14489.0 14489 D Each share of Phantom Stock (stock unit) is the economic equivalent of one share of the Company's common stock and is exercisable solely for cash. The shares of Phantom Stock (stock units) vest in three substantially equal installments on January 30, 2020, January 30, 2021, and January 30, 2022. /s/ Charles J. Hansen, as Attorney-in-Fact for Philip M. Etter 2019-02-25