0000768835-12-000028.txt : 20120308 0000768835-12-000028.hdr.sgml : 20120308 20120308174044 ACCESSION NUMBER: 0000768835-12-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120306 FILED AS OF DATE: 20120308 DATE AS OF CHANGE: 20120308 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: 12678278 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 X0304 4 2012-03-06 0000768835 BIG LOTS INC BIG 0001015790 KOLLAT DAVID T 4410 SMOTHERS ROAD WESTERVILLE OH 43081 1 0 0 0 Common Stock 2012-03-06 4 M 0 10000 17.84 A 36250 D Common Stock 2012-03-06 4 M 0 10000 17.47 A 46250 D Common Stock 2012-03-06 4 M 0 10000 12.17 A 56250 D Common Stock 2012-03-06 4 M 0 10000 11.79 A 66250 D Common Stock 2012-03-06 4 M 0 10000 19.25 A 76250 D Common Stock 2012-03-06 4 M 0 10000 28.22 A 86250 D Common Stock 2012-03-06 4 S 0 60000 43.96 D 26250 D Stock Purchase Option 17.84 2012-03-06 4 M 0 10000 0 D 2005-11-15 2012-10-09 Common Stock 10000 0 D Stock Purchase Option 17.47 2012-03-06 4 M 0 10000 0 D 2005-11-15 2013-10-09 Common Stock 10000 0 D Stock Purchase Option 12.17 2012-03-06 4 M 0 10000 0 D 2005-11-15 2014-10-09 Common Stock 10000 0 D Stock Purchase Option 11.79 2012-03-06 4 M 0 10000 0 D 2008-09-09 2015-10-09 Common Stock 10000 0 D Stock Purchase Option 19.25 2012-03-06 4 M 0 10000 0 D 2009-09-11 2016-10-11 Common Stock 10000 0 D Stock Purchase Option 28.22 2012-03-06 4 M 0 10000 0 D 2010-09-10 2017-10-10 Common Stock 10000 0 D The value represents the weighted average sale price for the transactions reported on the corresponding line. The actual sales prices for the transactions reported on the corresponding line ranged from $43.75 to $44.10. The reporting person undertakes to provide (upon request by the SEC, the issuer or a security holder of the issuer) full information regarding the number of shares sold at each separate price. The date upon which the Stock Purchase Option became fully exercisable. Joseph Y. Heuer, Attorney-in-fact for David T. Kollat 2012-03-08