SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LAMBERTH MIRIAN P

(Last) (First) (Middle)
350 2ND STREET, #6F

(Street)
NEW YORK NY 11215

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
OSHKOSH B GOSH INC [ GOSHA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP - Product Design
3. Date of Earliest Transaction (Month/Day/Year)
11/19/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 11/19/2004 D 10,000 D (1) 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy)(2) $32.46 11/19/2004 D 1,750(3) 09/23/2003 09/23/2012 Class A Common Stock 1,750 (4) 1,750(5) D
Employee Stock Option (Right to Buy)(2) $23.595 11/19/2004 D 6,000(3) 02/11/2004 02/11/2013 Class A Common Stock 6,000 (4) 2,000(5) D
Employee Stock Option (Right to Buy)(2) $21.6 11/19/2004 D 8,000(3) 02/10/2005 02/10/2014 Class A Common Stock 8,000 (4) 0 D
Explanation of Responses:
1. Represents the forfeiture of restricted stock award, dated 02/10/2004, for no consideration based upon termination of employment pursuant to the terms of the grant.
2. Options granted under the OshKosh B'Gosh, Inc. 1994 Incentive Stock Option Plan, which provides for tax withholding rights.
3. Represents the forfeiture of unvested stock options for no consideration based upon termination of employment pursuant to the terms of the OskKosh B'Gosh, Inc. 1994 Incentive Stock Option Plan.
4. Options granted for no consideration.
5. Represents vested portion of stock options, which are not subject to forfeiture upon termination of employment.
Remarks:
Mirian P. Lamberth By: Michael L. Heider by Power of Attorney 11/23/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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