-----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, WCi8ueSrKwohLpBcb4G3MP9+0NkCh8hs75uZSleT2BRI+dCJOsS/82XbOe3sU2BZ PhDyQuELR7dvO1V8xItT1Q== 0001181431-02-003018.txt : 20021216 0001181431-02-003018.hdr.sgml : 20021216 20021216114945 ACCESSION NUMBER: 0001181431-02-003018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021213 FILED AS OF DATE: 20021216 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: WEATHERFORD GARY D CENTRAL INDEX KEY: 0001190652 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 200 FOURTH STREET CITY: OAKLAND STATE: CA ZIP: 94607 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COST PLUS INC/CA/ CENTRAL INDEX KEY: 0000798955 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-HOME FURNITURE, FURNISHINGS & EQUIPMENT STORES [5700] IRS NUMBER: 941067973 STATE OF INCORPORATION: CA FISCAL YEAR END: 0130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14970 FILM NUMBER: 02858105 BUSINESS ADDRESS: STREET 1: 201 CLAY ST STREET 2: P O BOX 23350 CITY: OAKLAND STATE: CA ZIP: 94607 BUSINESS PHONE: 4158937300 MAIL ADDRESS: STREET 1: 201 CLAY ST STREET 2: P O BOX 23350 CITY: OAKLAND STATE: CA ZIP: 94623 4 1 rrd2635.htm FROM 4 SEC Form 4
FORM 4

[  ] Check this box if no longer
subject to Section 16. Form 4 or Form
5 obligations may continue.
See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Weatherford, Gary

(Last)                      (First)                      (Middle)
200 4th Street

(Street)
Oakland,    CA   94607

(City)                      (State)                      (Zip)

2. Issuer Name
and Ticker or Trading Symbol

Cost Plus, Inc.
CPWM

3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)
4. Statement for
    Month/Day/Year

12/12/02


5. If Amendment,
    Date of Original
    (Month/Day/Year)

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

   Director      10% Owner
X Officer (give title below)        Other (specify below)

Description           Executive Vice President, Operations

7. Individual or Joint/Group
    Filing (Check Applicable Line)

X   Form filed by One Reporting Person
     Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
    (Instr. 3)

2.Transaction
Date
(Month/Day/Year)
2A. Deemed Execution Date, if any
(Month/Day/Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A) or Disposed Of (D)
    (Instr. 3, 4, and 5)
5. Amount of
    Securities
    Beneficially
    Owned Following
    Reported Transaction(s)

    (Instr. 3 and 4)
6. Owner-
    ship
    Form:
    Direct (D)
    or
    Indirect (I)

    (Instr. 4)
7. Nature of
     Indirect
     Beneficial
     Ownership

    (Instr. 4)
Code
V
Amount
A/D
Price
Cost Plus Common Stock
12/12/02
M
1500
A
$10.7222222
Cost Plus Common Stock
12/12/02
S
1500
D
$31.30
Cost Plus Common Stock
12/13/02
M
13802
A
$10.7222222
Cost Plus Common Stock
12/13/02
S
3802
D
$31.08
Cost Plus Common Stock
12/13/02
S
1000
D
$30.77
Cost Plus Common Stock
12/13/02
S
1000
D
$30.85
Cost Plus Common Stock
12/13/02
S
1000
D
$30.72
Cost Plus Common Stock
12/13/02
S
1000
D
$30.68
Cost Plus Common Stock
12/13/02
S
1000
D
$30.50
Cost Plus Common Stock
12/13/02
S
1000
D
$30.44
Cost Plus Common Stock
12/13/02
S
1000
D
$30.10
Cost Plus Common Stock
12/13/02
S
100
D
$30.245
Cost Plus Common Stock
12/13/02
S
1400
D
$30.30
Cost Plus Common Stock
12/13/02
S
1500
D
$30.00
0

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
    (Instr. 3)
2. Conver-
    sion or
    Exercise
    Price of
    Deri-
    vative
    Security
3. Transaction Date

(Month/
Day/
Year)
3A. Deemed Execution Date, if any

(Month/
Day/
Year)
4. Transaction Code
    (Instr.8)
5. Number of Derivative
    Securities Acquired (A)
    or Disposed Of (D)

    (Instr. 3, 4 and 5)
6. Date Exercisable(DE) and
    Expiration Date(ED)
    (Month/Day/Year)
7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)
8. Price
    of
    Derivative
    Security
    (Instr.5)
9. Number of
    Derivative
    Securities
    Beneficially
    Owned
    Following
    Reported
    Transaction(s)
    (Instr.4)
10. Owner-
ship
Form of
Deriv-
ative
Securities:
Direct (D)
or
Indirect (I)

(Instr.4)
11. Nature of
      Indirect
      Beneficial
      Ownership
      (Instr.4)
Code
V
A
D
DE
ED
Title
Amount or Number of Shares
Employee Stock Option (right to buy) $10.7222222 12/12/02
M
       1500
4/1/01
8/25/07
Common Stock CPWM
1500
$--
13802
D
Employee Stock Option (right to buy) $10.7222222 12/13/02
M
       13802
4/1/01
8/25/07
Common Stock CPWM
13802
$--
0
D
Explanation of Responses:
 
By:
/s/ Gary Weatherford                                                                                                12/16/02
** Signature of Reporting Person                                                                                    Date      





SEC 1474 (9-02)
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number.
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