0000768835-21-000095.txt : 20210723 0000768835-21-000095.hdr.sgml : 20210723 20210723171326 ACCESSION NUMBER: 0000768835-21-000095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210721 FILED AS OF DATE: 20210723 DATE AS OF CHANGE: 20210723 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schlonsky Michael Allen CENTRAL INDEX KEY: 0001557088 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 211111610 MAIL ADDRESS: STREET 1: 300 PHILLIPI ROAD CITY: COLUMBUS STATE: OH ZIP: 43228 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: 4900 E DUBLIN GRANVILLE RD CITY: COLUMBUS STATE: OH ZIP: 43081-7651 BUSINESS PHONE: 614-278-6800 MAIL ADDRESS: STREET 1: 4900 E DUBLIN GRANVILLE RD CITY: COLUMBUS STATE: OH ZIP: 43081-7651 4 1 wf-form4_162707478681495.xml FORM 4 X0306 4 2021-07-21 0 0000768835 BIG LOTS INC BIG 0001557088 Schlonsky Michael Allen 4900 E. DUBLIN-GRANVILLE ROAD COLUMBUS OH 43081 0 1 0 0 Executive Vice President Common Stock 2021-07-21 4 S 0 2000 61.27 D 65951 D Common Stock 3300 I By the Trust Common Stock 3643.805 I By the 401(k) Plan The sale reported in this Form 4 was made pursuant to a plan intended to comply with Rule 10b5-1. The reporting person was appointed trustee of the Joseph Schlonsky 2007 Trust (the "Trust") on September 30, 2012. The reporting person's sibling is the sole beneficiary of the Trust. Common Stock held under the Big Lots Savings Plan ("401(k) Plan"). This information is based on a 401(k) Plan report dated July 21, 2021. Jennifer L. Smith, Attorney-in-fact for Michael Allen Schlonsky 2021-07-23