-----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, Eu7DTSvJJfFOcl+O9hu13/w/WmaYxH6ZQ6bBh+2+qUovAshbsSZvUedF8rD+0gIc 90QOXnO/N36V6+/NrKKkCQ== 0000768835-09-000037.txt : 20090902 0000768835-09-000037.hdr.sgml : 20090902 20090902162455 ACCESSION NUMBER: 0000768835-09-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090831 FILED AS OF DATE: 20090902 DATE AS OF CHANGE: 20090902 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOLLAT DAVID T CENTRAL INDEX KEY: 0001015790 STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 091051209 BUSINESS ADDRESS: STREET 1: C/O 22, INC. STREET 2: 4410 SMOTHERS ROAD CITY: WESTERVILLE STATE: OH ZIP: 43081 BUSINESS PHONE: 6145230041 MAIL ADDRESS: STREET 1: 9341 COURTLAND DR CITY: ROCKFORD STATE: MI ZIP: 49351 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 X0303 4 2009-08-31 0000768835 BIG LOTS INC BIG 0001015790 KOLLAT DAVID T 4410 SMOTHERS ROAD WESTERVILLE OH 43081 1 0 0 0 Common Stock 2009-08-31 4 M 0 5000 19.00 A 19676 D Common Stock 2009-08-31 4 F 0 3737 25.42 D 15939 D Stock Purchase Option 19.00 2009-08-31 4 M 0 5000 0 D 2002-09-10 2009-10-10 Common Stock 5000 0 D Chadwick P. Reynolds, attorney in fact for David T. Kollat 2009-09-02 -----END PRIVACY-ENHANCED MESSAGE-----