0000768835-21-000110.txt : 20211117 0000768835-21-000110.hdr.sgml : 20211117 20211117161146 ACCESSION NUMBER: 0000768835-21-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211115 FILED AS OF DATE: 20211117 DATE AS OF CHANGE: 20211117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mueller Andrej CENTRAL INDEX KEY: 0001790576 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08897 FILM NUMBER: 211420738 MAIL ADDRESS: STREET 1: 4900 E DUBLIN GRANVILLE ROAD CITY: COLUMBUS STATE: OH ZIP: 43081 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_163718348535575.xml FORM 4 X0306 4 2021-11-15 0 0000768835 BIG LOTS INC BIG 0001790576 Mueller Andrej 4900 E. DUBLIN-GRANVILLE RD COLUMBUS OH 43081 0 1 0 0 Executive Vice President Common Stock 2021-11-15 4 F 0 2509 48.63 D 31949 D The issuer withheld common shares to satisfy taxes applicable to the vesting of an equity award for the reporting person. Ronald A. Robins, Jr., Attorney-in-fact for Andrej Mueller 2021-11-17