-----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, VEjbXZDZxIwp5KTiWlsL+BP4taH7MbyL9s05vOvL0sFA1YJxNUFIaVeju2rW8OUW z7lI5iGepajKZ12kTMo/hw== 0000768835-04-000030.txt : 20040316 0000768835-04-000030.hdr.sgml : 20040316 20040316172435 ACCESSION NUMBER: 0000768835-04-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040315 FILED AS OF DATE: 20040316 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: 04673540 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 2004-03-15 0000768835 BIG LOTS INC BLI 0001191211 POTTER MICHAEL J 300 PHILLIPI ROAD COLUMBUS OH 43228 1 1 0 0 CEO & President Common Stock 2004-03-15 4 M 0 7813 12.00 A 40002 D Common Stock 3124 I By 401(k) Plan Stock Purchase Option 12.00 2004-03-15 4 M 0 7813 0 D 2004-03-15 Common Stock 7813 1956875 D The Company's Savings Plan ("401(k) Plan") invests in Common Stock of the Company and the amount listed is the amount held by the reporting person as of February 19, 2004. One Stock Purchase Option representing 7,813 underlying shares of Common Stock. The Stock Purchase Option vested in equal portions on each of the first five anniversary dates. Twelve Stock Purchase Options representing 1,956,875 underlying shares of Common Stock. Charles W. Haubiel II, attorney in fact for Michael J. Potter 2004-03-16 -----END PRIVACY-ENHANCED MESSAGE-----