-----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, QYh9x+Iv/TEBSDaZUQitY66xVm9bPh38Fk1KpZrCftoIDG7L5Fo+Tk1ySXPGUJkY nhDckBpPmqmtTEAVD2zSmA== 0000768835-05-000009.txt : 20050222 0000768835-05-000009.hdr.sgml : 20050222 20050222171305 ACCESSION NUMBER: 0000768835-05-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050218 FILED AS OF DATE: 20050222 DATE AS OF CHANGE: 20050222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LARSSON KENT A CENTRAL INDEX KEY: 0001191208 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 05632056 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 X0202 4 2005-02-18 0000768835 BIG LOTS INC BLI 0001191208 LARSSON KENT A 300 PHILLIPI ROAD COLUMBUS OH 43228 0 1 0 0 Senior Vice President Common Stock 2005-02-18 4 A 0 501 0 A 5437 I By 401(k) Plan Phantom Stock 2005-02-18 4 A 0 207 0 A Common Stock 207 5142 D Stock Purchase Option 11.58 2005-02-21 4 A 0 30000 0 A 2006-02-21 2015-02-20 Common Stock 30000 30000 D On February 18, 2005, the reporting person acquired the amount of common stock listed in Table I under the Big Lots, Inc. Savings Plan and Trust ("401(k) Plan") as a result of a matching contribution by the Issuer in the form of the Issuer's stock, as contemplated by the terms of the 401(k) Plan. The reporting person also holds 33,001 shares of common stock directly. One-for-one. The reported phantom stock was acquired under the Big Lots, Inc. Supplemental Savings Plan ("Supplemental Plan") as a result of the matching contribution by the Issuer in the form of the Issuer's stock, as contemplated by the terms of the Supplemental Plan. Immediately. Not applicable. The option vests in five equal annual installments beginning on February 21, 2006. The information in this report is based on plan statements dated as of February 22, 2005. Charles W. Haubiel II, attorney in fact for Kent A. Larsson 2005-02-22 EX-24 2 ex-24.htm POWER OF ATTORNEY FOR KENT A. LARSSON

SPECIAL POWER OF ATTORNEY

THE UNDERSIGNED, KENT A. LARSSON, presently residing at 9333 Lerwick Drive, Dublin, OH 43017, does hereby appoint Michael J. Potter, Charles W. Haubiel and Chadwick P. Reynolds, respectively and each of them, and each of them having full power of substitution for the other, as his lawful attorney-in-fact, and hereby empowers each of them to act singly or in concert for the limited purpose of preparing, executing and filing on behalf of the undersigned any registration statement, prospectus, underwriting agreement, and all periodic reports required to be filed either he or by Big Lots, Inc. on Form 10-K, Form 10-Q, Form 8-K, Form 3, Form 4, Form 5, Form 144, or such other form as may be required, respectively as the case may be, with the Securities and Exchange Commission and with any securities exchange on which such security is listed or traded, as may from time-to-time be required pursuant to the Securities Act of 1933 as amended, the Securities Exchange Act of 1934 as amended, or the rules which are prom
ulgated from time-to-time under either of such Acts, or the rules of any securities exchange.

This Special Power of Attorney is limited to the specific acts herein described and is made effective the date last below written, and shall continue in full force and effect until revoked by the undersigned. This Special Power of Attorney, and the appointment and empowerment herein made, shall not be deemed revoked or superseded, or otherwise affected, by the illness, incapacity or death of the undersigned until such time as the earlier occurring of either (i) a period of one year shall have elapsed from the date of such illness, incapacity or death, or (ii) the receipt by each of the above named appointees of a writing which revokes this Special Power of Attorney issued by the lawful Personal Representative, Custodian or Conservator, of the undersigned.

/s/ Kent A. Larsson

KENT A. LARSSON

STATE OF OHIO )

) ss

COUNTY OF FRANKLIN )

BEFORE ME, the undersigned Notary Public in and for said county and state, did personally appear on this 29th day of November, 2004, the above-signed individual known to me to be KENT A. LARSSON, and upon oath duly sworn did testify that the signing of the above and foregoing instrument did constitute his free and voluntary act and deed.

/s/ Leshell L. Duncan

NOTARY PUBLIC

[SEAL]

My Commission expires: 12-21-2008

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