0001181431-11-044134.txt : 20110805
0001181431-11-044134.hdr.sgml : 20110805
20110805142212
ACCESSION NUMBER: 0001181431-11-044134
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110803
FILED AS OF DATE: 20110805
DATE AS OF CHANGE: 20110805
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STEVENS KENNETH T
CENTRAL INDEX KEY: 0001164786
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14970
FILM NUMBER: 111013704
MAIL ADDRESS:
STREET 1: SPARTAN STORES INC
STREET 2: 850 76TH ST SW
CITY: GRAND RAPIDS
STATE: MI
ZIP: 49518
ISSUER:
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: 0129
BUSINESS ADDRESS:
STREET 1: 200 FOURTH STREET OAKLAND
STREET 2: SEE ADDRESS LISTED ABOVE
CITY: OAKLAND
STATE: CA
ZIP: 94607
BUSINESS PHONE: 5108937300
MAIL ADDRESS:
STREET 1: 200 FOURTH STREET OAKLAND
STREET 2: SEE ADDRESS LISTED ABOVE
CITY: OAKLAND
STATE: CA
ZIP: 94607
4
1
rrd319154.xml
FORM 4
X0304
4
2011-08-03
0
0000798955
COST PLUS INC/CA/
CPWM
0001164786
STEVENS KENNETH T
200 FOURTH STREET
OAKLAND
CA
94607
1
0
0
0
Deferred Stock Units
2011-08-03
4
A
0
6218
0
A
Common Stock
6218
6218
D
Each deferred stock unit represents a contingent right to receive one share of Cost Plus, Inc. common stock.
The deferred stock units will vest in full on the one year anniversary date of the grant. Vested shares will be delivered to the reporting person either upon the one year anniversary of the date of grant or
within thirty days of the earlier of (i) any settlement date irrevocably elected by the reporting person, (ii) the date the reporting person is no longer serving as a director of Cost Plus, Inc. and (iii) the date of
a merger or asset sale which is a "change of control" (as defined in Section 409A of the Internal Revenue Code of 1986, as amended).
Jane Baughman, attorney-in-fact for Kenneth Stevens
2011-08-05