-----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, WSjLJcGheHplUEriJSMy0uoJ5jJ2kWiF4Q4akMMZjwjwZxNGpy0YuARlLEN1lqQQ hnCaPtencdGtsE3na3zAyQ== 0000794367-04-000058.txt : 20040330 0000794367-04-000058.hdr.sgml : 20040330 20040330122716 ACCESSION NUMBER: 0000794367-04-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040326 FILED AS OF DATE: 20040330 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FEDERATED DEPARTMENT STORES INC /DE/ CENTRAL INDEX KEY: 0000794367 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 133324058 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 7 WEST SEVENTH STREET CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 5135797000 MAIL ADDRESS: STREET 1: 7 W SEVENTH ST CITY: CINCINNATI STATE: OH ZIP: 45202 FORMER COMPANY: FORMER CONFORMED NAME: R H MACY & CO INC DATE OF NAME CHANGE: 19950307 FORMER COMPANY: FORMER CONFORMED NAME: MACY ACQUIRING CORP DATE OF NAME CHANGE: 19861124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TYSOE RONALD W CENTRAL INDEX KEY: 0001184472 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13536 FILM NUMBER: 04699153 BUSINESS ADDRESS: STREET 1: C/O FEDERATED DEPARTMENT STORES INC STREET 2: 7 WEST SEVENTH STREET CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 5135797740 MAIL ADDRESS: STREET 1: C/O FEDERATED DEPARTMENT STORES, INC. STREET 2: 7 WEST SEVENTH STREET CITY: CINCINNATI STATE: OH ZIP: 45202 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-03-26 0 0000794367 FEDERATED DEPARTMENT STORES INC /DE/ FD 0001184472 TYSOE RONALD W C/O FEDERATED DEPARTMENT STORES, INC. 7 WEST SEVENTH STREET CINCINNATI OH 45202 1 1 0 0 Vice Chair Common Stock 243 I By 401(k) plan Option to Purchase Common Stock 50.01 2004-03-26 4 A 0 32500 0 A 2014-03-26 Common Stock 32500 32500 D Phantom Stock Units 2004-03-26 4 A 0 14517 0 A Common Stock 14517 14517 D Reflects matching contributions under the Issuer's 401(k) plan, derived by dividing the value of the undivided interest of the reporting person in the applicable investment fund as of March 26, 2004 by $50.50, the stock price of such date. Grant to reporting person of options to purchase 32,500 shares of common stock under the Issuer's 1995 Executive Equity Incentive Plan. The options become exercisable in 25 percent increments on March 26, 2005, March 26, 2006, March 26, 2007 and March 26, 2008, respectively. 1-for-1 conversion. The value of the phantom stock units will be payable in cash as follows: 50 percent on February 4, 2008 and 50 percent on February 2, 2009. /s/Padma Tatta Cariappa, as attorney-in-fact for Ronald W. Tysoe pursuant to a Power of Attorney 2004-03-30 -----END PRIVACY-ENHANCED MESSAGE-----