0001181431-11-044136.txt : 20110805 0001181431-11-044136.hdr.sgml : 20110805 20110805142253 ACCESSION NUMBER: 0001181431-11-044136 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: ROBBINS KIM D CENTRAL INDEX KEY: 0001194244 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14970 FILM NUMBER: 111013726 MAIL ADDRESS: STREET 1: 200 4TH STREET CITY: OAKLAND STATE: CA ZIP: 94607 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 rrd319152.xml FORM 4 X0304 4 2011-08-03 0 0000798955 COST PLUS INC/CA/ CPWM 0001194244 ROBBINS KIM D 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 Kim Robbins 2011-08-05