0000921895-20-000773.txt : 20200313
0000921895-20-000773.hdr.sgml : 20200313
20200313213155
ACCESSION NUMBER: 0000921895-20-000773
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200304
FILED AS OF DATE: 20200313
DATE AS OF CHANGE: 20200313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CLARKE ANDREW C
CENTRAL INDEX KEY: 0001182292
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08897
FILM NUMBER: 20715086
MAIL ADDRESS:
STREET 1: 430 AIRPORT ROAD
CITY: GREENVILLIE
STATE: TN
ZIP: 37745
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
3
1
form311142005cla_03132020.xml
OWNERSHIP DOCUMENT
X0206
3
2020-03-04
0
0000768835
BIG LOTS INC
BIG
0001182292
CLARKE ANDREW C
430 AIRPORT ROAD
GREENVILLIE
TN
37745
0
0
0
1
See Explanation of Responses
Common Stock $0.01 par value
0
D
The Reporting Person may be deemed to be a member of a Section 13(d) group that collectively beneficially owns more than 10% of the Issuer's outstandingshares of Common Stock. The Reporting Person disclaims beneficial ownership of the securities of the Issuer owned by other members of the Section 13(d) group and this report shall not be deemed an admission that he is the beneficial owner of such securities for purposes of Section 16 of the SecuritiesExchange Act of 1934, as amended, or for any other purpose.
By: /s/ Jonathan Duskin as attorney-in-fact for Andrew C. Clarke
2020-03-13