-----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, PIGWW/6DmmY0Kpdao8m7evjWbmN8bCyXPmKiNaOhk7id5GlJlCt01SPKiTqGNqFh jM0j/gseTcRsLYqIOHGebQ== 0000768835-04-000006.txt : 20040220 0000768835-04-000006.hdr.sgml : 20040220 20040220173627 ACCESSION NUMBER: 0000768835-04-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040220 FILED AS OF DATE: 20040220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAUBIEL CHARLES W II CENTRAL INDEX KEY: 0001191207 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 04620236 BUSINESS ADDRESS: STREET 1: 300 PHILLIPI RD CITY: COLUMBUS STATE: OH ZIP: 43228 BUSINESS PHONE: 6142786800 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIG LOTS INC CENTRAL INDEX KEY: 0000768835 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 061119097 STATE OF INCORPORATION: OH FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 300 PHILLIPI ROAD STREET 2: P.O.BOX 28512 CITY: COLUMBUS STATE: OH ZIP: 43228-0512 BUSINESS PHONE: 614-278-6800 MAIL ADDRESS: STREET 1: 300 PHILLIPI ROAD STREET 2: P.O.BOX 28512 CITY: COLUMBUS STATE: OH ZIP: 43228-0512 4 1 edgar.xml PRIMARY DOCUMENT X0201 4 2004-02-20 0000768835 BIG LOTS INC BLI 0001191207 HAUBIEL CHARLES W II 300 PHILLIPI ROAD COLUMBUS OH 43228 0 1 0 0 VP, General Counsel & Sec'y 401(k) Matching Contribution 2004-02-19 4 J 0 230 15.06 A 2423 D Top Hat Matching Contribution 2004-02-19 4 I 0 188 15.06 A Common Stock 188 188 I Top Hat Company's matching contribution to this participant under the Company's Saving's Plan ("401(k)"). Price Per share of the Company's common stock on the date matching contributions were calculated. Interest in securities held in 401(k). Company's matching contribution to this participant under the Company's Supplemental Savings Plan ("Top Hat"). Proportionate interest in phantom securities in the Top Hat. N/A Charles W. Haubiel II 2004-02-20 -----END PRIVACY-ENHANCED MESSAGE-----