-----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, H522IjaXjLuk79qztbynex3AOZN4J5X2nXNWlGp6nj9EntI2vdPhqXCJQ1/JYtmJ PQCQgHU3WCTB/pGT1S4lJg== 0001181431-04-053666.txt : 20041117 0001181431-04-053666.hdr.sgml : 20041117 20041117184626 ACCESSION NUMBER: 0001181431-04-053666 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041115 FILED AS OF DATE: 20041117 DATE AS OF CHANGE: 20041117 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: BLAIR DANIEL R CENTRAL INDEX KEY: 0001228781 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00878 FILM NUMBER: 041153367 BUSINESS ADDRESS: STREET 1: BLAIR CORP STREET 2: 220 HICKORY STREET CITY: WARREN STATE: PA ZIP: 16366 BUSINESS PHONE: 8147233600 4 1 rrd58493.xml FORM 4 - BLAIR (NOVEMBER 15, 2004) X0202 4 2004-11-15 0 0000071525 BLAIR CORP BL 0001228781 BLAIR DANIEL R 220 HICKORY STREET WARREN PA 16366 0 1 0 0 Secretary Common Stock 2004-11-15 4 M 0 825 23.60 A 15550 D Employee Stock Option (right to buy) 23.60 2004-11-15 4 M 0 825 0 D 2013-04-15 Common Stock 825 2577 D The option of 3402 shares vests in three equal annual installments beginning on April 15, 2004. Of the 15,550 shares beneficially owned, 12,000 are directly held by Trust for Self. /S/ DANIEL R BLAIR 2004-11-16 -----END PRIVACY-ENHANCED MESSAGE-----