-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BHhmcjYr25tu4tcgPzsDiotLsO35wJMxfKEHbNVMrcyJLhCTx2t3MeVl230+Jfun TTcYm46YftDRqc9o7vgtgA== 0001181431-03-036496.txt : 20031218 0001181431-03-036496.hdr.sgml : 20031218 20031218112059 ACCESSION NUMBER: 0001181431-03-036496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031216 FILED AS OF DATE: 20031218 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLAIR CORP CENTRAL INDEX KEY: 0000071525 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 250691670 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 220 HICKORY ST CITY: WARREN STATE: PA ZIP: 16366 BUSINESS PHONE: 8147233600 FORMER COMPANY: FORMER CONFORMED NAME: NEW PROCESS CO DATE OF NAME CHANGE: 19890507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZAWACKI JOHN E CENTRAL INDEX KEY: 0001226605 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00878 FILM NUMBER: 031061482 BUSINESS ADDRESS: STREET 1: C/O BLAIR CORP STREET 2: 220 HICKORY STREET CITY: WARREN STATE: PA ZIP: 16366 BUSINESS PHONE: 8147233600 4 1 rrd26242.xml FORM 4 OF JOHN E. ZAWACKI (DECEMBER 16, 2003) X0201 42003-12-160 0000071525 BLAIR CORP BL 0001226605 ZAWACKI JOHN E 220 HICKORY STREET WARREN PA 16366 1100President & CEOCommon Stock2003-12-164A015000A18000DCommon Stock22500IBy WifeEmployee Stock Option (right to buy)23.601988-08-082013-04-15Common Stock2650226502DEmployee Stock Option (right to buy)19.301988-08-082012-04-15Common Stock2650226502DEmployee Stock Option (right to buy)17.101988-08-082011-04-16Common Stock1700117001DThe grant of 15000 shares vests in five equal annual installments beginning on December 11, 2004. The information with respect to this option grant approved by the Board of Directors on December 11, 2003 is based on a me morandum received by the reporting person on December 16, 2003.In the Section 16 Electronic Reporting Frequently Asked Questions released by the SEC on May 1, 2003, the SEC has designated "08/08/1988" as a "dummy date" until the electronic system is modified. This line reports end of period indirect holdings for this reporting person, and 08/08/1988 is not a transaction date related to these securities. The option of 26,502 shares vests in three equal annual installments beginning on April 15, 2004.In the Section 16 Electronic Reporting Frequently Asked Questions released by the SEC on May 1, 2003, the SEC has designated "08/08/1988" as a "dummy date" until the electronic system is modified. This line reports end of period indirect holdings for this reporting person, and 08/08/1988 is not a transaction date related to these securities. The option of 26,502 shares vests in three equal annual installments beginning on April 15, 2003.In the Section 16 Electronic Reporting Frequently Asked Questions released by the SEC on May 1, 2003, the SEC has designated "08/08/1988" as a "dummy date" until the electronic system is modified. This line reports end of period indirect holdings for this reporting person, and 08/08/1988 is not a transaction date related to these securities. The option of 17,001 shares vests in three equal annual installments beginning on April 16, 2002./s/ John E. Zawacki2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----