-----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, AuXHJ+3pNjAe8TQilfYSPZSdh/ds7g2BXUNsAtUwlQ/YSJdtr/unTDweuCliYuqF ++dNUIdnmxzJ2aqtNqvJ2A== 0000768835-04-000017.txt : 20040224 0000768835-04-000017.hdr.sgml : 20040224 20040224170127 ACCESSION NUMBER: 0000768835-04-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040223 FILED AS OF DATE: 20040224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POTTER MICHAEL J CENTRAL INDEX KEY: 0001191211 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 04625409 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 2004-02-23 0000768835 BIG LOTS INC BLI 0001191211 POTTER MICHAEL J 300 PHILLIPI ROAD COLUMBUS OH 43228 1 1 0 0 CEO & President Stock Purchase Option 15.05 2004-02-23 4 A 0 350000 0 A 2005-02-23 2014-02-23 Common Stock 350000 1964688 D One Stock Purchase Option representing 350,000 underlying shares of Common Stock. Dates in this column reflect the first of five annual vesting dates upon which 20% of the Stock Purchase Option becomes exercisable. Thirteen Stock Purchase Options representing 1,964,688 underlying shares of Common Stock. Charles W. Haubiel II, attorney in fact for Michael J. Potter 2004-02-24 -----END PRIVACY-ENHANCED MESSAGE-----