-----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, QtlUN7QTPfg1YGJFd3BuFmpzCUzmcqhMSf1VkHDbL4cc2w25Hx/wRSkAaEXseV11 1K+xViDYinL0ycQ1DAGY7A== 0000768835-04-000032.txt : 20040316 0000768835-04-000032.hdr.sgml : 20040316 20040316173201 ACCESSION NUMBER: 0000768835-04-000032 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: MIERZWA DONALD A CENTRAL INDEX KEY: 0001191209 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 04673635 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 0001191209 MIERZWA DONALD A 300 PHILLIPI ROAD COLUMBUS OH 43228 0 1 0 0 Executive Vice President Common Stock 2004-03-15 4 M 0 23438 12.00 A 23438 D Common Stock 2004-03-15 4 S 0 100 13.65 D 23338 D Common Stock 2004-03-15 4 S 0 6900 13.66 D 16438 D Common Stock 2004-03-15 4 S 0 2400 13.67 D 14038 D Common Stock 2004-03-15 4 S 0 1600 13.68 D 12438 D Common Stock 2004-03-15 4 S 0 4400 13.69 D 8038 D Common Stock 2004-03-15 4 S 0 2800 13.70 D 5238 D Common Stock 2004-03-15 4 S 0 2100 13.71 D 3138 D Common Stock 2004-03-15 4 S 0 900 13.72 D 2238 D Common Stock 2004-03-15 4 S 0 1500 13.73 D 738 D Common Stock 2004-03-15 4 S 0 500 13.75 D 238 D Common Stock 2004-03-15 4 S 0 238 13.77 D 0 D Common Stock 3363 I By 401(k) Plan Stock Purchase Option 12.00 2004-03-15 4 M 0 23438 0 D 2004-03-15 Common Stock 23438 491562 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 23,438 underlying shares of Common Stock. The Stock Purchase Option vested in equal portions on each of the first five anniversary dates. Eleven Stock Purchase Options representing 491,562 underlying shares of Common Stock. Charles W. Haubiel II, attorney in fact for Donald A. Mierzwa 2004-03-16 -----END PRIVACY-ENHANCED MESSAGE-----