-----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, JoIy6VPrMy+EboHTu3Cr+fEjkHKN8seyAEvsptxgrTm9Ns4YHGVFzy68agxFYZIk OeMkJn/umMOiG7Cm0QSO6w== 0000813298-03-000040.txt : 20030502 0000813298-03-000040.hdr.sgml : 20030502 20030502170955 ACCESSION NUMBER: 0000813298-03-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030430 FILED AS OF DATE: 20030502 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: HOLTZMAN SEYMOUR CENTRAL INDEX KEY: 0000904439 RELATIONSHIP: OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 100 N WILKES BARRE BLVD STREET 2: 4TH FL CITY: WILKES BARRE STATE: PA ZIP: 18702 MAIL ADDRESS: STREET 1: C/O JEWELCOR - 4TH FLOOR STREET 2: 100 N WILKES BARRE BLVD CITY: WILKES BARRE STATE: PA ZIP: 18702 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CASUAL MALE RETAIL GROUP INC CENTRAL INDEX KEY: 0000813298 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] IRS NUMBER: 042623104 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15898 FILM NUMBER: 03680409 BUSINESS ADDRESS: STREET 1: 555 TURNPIKE STREET CITY: CANTON STATE: MA ZIP: 02021 BUSINESS PHONE: 7818215900 MAIL ADDRESS: STREET 1: 555 TURNPIKE STREET CITY: CANTON STATE: MA ZIP: 02021 FORMER COMPANY: FORMER CONFORMED NAME: DESIGNS INC DATE OF NAME CHANGE: 19920703 4 1 holtzman043003.htm FORM 4 - SEYMOUR HOLTZMAN - 04-30-03 FORM 4

FORM 4

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(f) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number: 3235-0287

Expires: January 31, 2005

Estimated average burden

hours per response: 0.5

¨ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

(Print or Type Responses)

1. Name and Address of Reporting Person*

 

Holtzman, Seymour

2. Issuer Name and Ticker or Trading Symbol

 

CASUAL MALE RETAIL GROUP, INC. ("CMRG")

6. Relationship of Reporting Person(s) to Issuer

(Check all applicable)

_X Director X 10% Owner

_ __ Officer _______ Other

(give title below) (specify below)

(Last) (First) (Middle)

c/o Casual Male Retail Group, Inc.

555 Turnpike Street

3. IRS or Social Security Number of Reporting Person (Voluntary)

4. Statement for Month/Day/Year

April 30, 2003

7. Individual or Joint/Group Filing
(Check applicable line)

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

Person

(Street)

Canton, MA 02021

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

(City) (State) (Zip)

Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Inst. 3)

2. Trans-action Date (Month/ Day/Year)

2A. Deemed Execution Date, if any (Month/ Day/Year)

3. Trans-action Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)

5. Amount of Securities Bene-ficially Owned Following Reported Transactions
(Inst. 3 and 4)

6. Ownership Form: Direct (D) or Indirect (I)
(Inst. 4)

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

 

Code

V

Amount

(A) or (D)

Price

Common Stock, $0.01 par value

04/30/03

A

70,769

A

(01)

3,884,094

I (a)

By Jewelcor Management, Inc.

Common Stock, $0.01 par value

12,765

D

Common Stock, $0.01 par value

15,000

I (b)(d)

By custodial accounts

Common Stock, $0.01 par value

15,000

I (c)(d)

Evelyn Holtzman, Custodian

Explanation of Responses:

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).

Potential persons who respond to the collection of information contained

(Over)

in this form are not required to respond unless the form displays

SEC 1474 (9-02)

a currently valid OMB control number

Page 1 of 2

Form 4 (continued)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security
(Inst. 3)

2. Con-version or Exer-cise Price

of Deri-vative Secur-ity

  1. 3. Trans-action Date
  2. (Month/ Day/ Year)

3A.Deemed Execu-tion Date, if any

(Month/ Day/ Year)

4. Trans- action Code
(Inst. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Inst. 3, 4 and 5)

6. Date Exercisable and Expiration Date (Month/Day/Year)

7. Title and Amount of Underlying Securities
(Inst. 3 and 4)

8. Price of Deriva-tive Secur-ity (Inst. 5)

9. Number of Derivative Securities Bene-ficially Owned Following Reported Trans-action(s)
(Inst. 4)

10.Owner-ship Form of Deriva-tive Security: Direct (D) or Indirect (I)
(Inst. 4)

11.Nature of Indirect Beneficial Ownership
(Inst. 4)

 

Code

V

(A)

(D)

Date
Exer- cisable

Expira- tion
Date

Title

Amount or Number of Shares

                               
                               
                               
                               

Explanation of Responses:

(01) Under the terms of a consulting agreement with the Issuer, as extended, Jewelcor Management, Inc., of which the Reporting Person is an indirect controlling shareholder, received compensation of $276,000 payable in 70,769 shares of the Issuer's common stock, based on the closing price of the common stock on April 28, 2003.

  1. The Reporting Person is an indirect controlling shareholder of Jewelcor Management, Inc., a holder of more than 10% of the Issuer's common stock.
  2. Includes shares of common stock held in individual custodial accounts for the benefit of the following grandchildren of the Reporting Person: Olivia Garcia (9,000 shares); Sterling Garcia (1,000 shares); Temple Holtzman (1,000 shares); Rivers Holtzman (1,000 shares); and Percy Holtzman (3,000). The Reporting Person is the custodian for the aforesaid custodial accounts.
  3. Represents shares of common stock held in individual custodial accounts for the benefit of Chelsea Holtzman, the Reporting Person's granddaughter. Evelyn Holtzman, the Reporting Person's wife, is the custodian for the aforesaid custodial accounts.
  4. The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities.

NOTES: The Reporting Person has previously reported grants of options to purchase an aggregate of 930,000 shares of the Issuer's common stock.

The Reporting Person has previously reported issuance of a warrant to Jewelcor Management, Inc. to purchase 147,059 shares of the Issuer's common stock, which warrant

is currently exercisable.

         
 

/s/ ARLENE C. FELDMAN

 

May 2, 2003

 

** 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 provided 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 valid OMB number.

 

** Signature of Reporting Person

Arlene C. Feldman

Attorney-in-Fact for

Seymour Holtzman

Date

 

Page 2 of 2

-----END PRIVACY-ENHANCED MESSAGE-----