-----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,
UK1EusyJWqXGuKtUoQIDt2WxpYDFxc4aeghru922TdNkxqE4skM1GxHdmdYmy6gQ
z6xLpYOo31k6q1LBSJceGA==
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 ¨
(Print or Type Responses) 1. Name and Address of Reporting Person* Jewelcor Management, Inc. 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 (a) Director _X 10% Owner _ __ Officer _______ Other (give title below) (specify below) (Last) (First) (Middle) 100 N. Wilkes-Barre Blvd. 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 _ X Form filed by One Reporting Person Form filed by More than One Reporting Person (Street) (City) (State) (Zip) Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security 2. Trans-action Date (Month/ Day/Year) 2A. Deemed Execution Date, if any (Month/ Day/Year) 3. Trans-action Code 4. Securities Acquired (A) or Disposed of (D) 5. Amount of Securities Beneficially Owned Following Reported Transactions 6. Owner-ship Form: Direct (D) or Indirect (I) 7. Nature of Indirect Beneficial Ownership Code V Amount (A) or (D) Price Common Stock, $0.01 par value 04/30/03 A 70,769 A (01) 3,884,094 D 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
(Check applicable line)
(Inst. 3)
(Instr. 8)
(Instr. 3, 4 and 5)
(Inst. 3 and 4)
(Inst. 4)
(Inst. 4)
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 |
2. Con-version or Exer-cise Price of Deri-vative Secur-ity |
|
3A.Deemed Execu-tion Date, if any (Month/ Day/ Year) |
4. Trans- action Code |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities |
8. Price of Deriva-tive Secur-ity (Inst. 5) |
9. Number of Deriva-tive Securities Bene-ficially Owned Following Reported Trans-action(s) |
10.Owner-ship Form of Deriva-tive Security: Direct (D) or Indirect (I) |
11.Nature of Indirect Benefi-cial Owner-ship |
||||
Code |
V |
(A) |
(D) |
Date |
Expira- tion |
Title |
Amount or Number of Shares |
||||||||
Explanation of Responses:
(01) Under the terms of a consulting agreement with the Issuer, as extended, the Reporting Person 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.
NOTE: The Reporting Person has previously reported issuance of a warrant 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 Jewelcor Management, Inc. |
Date |
Page 2 of 2
-----END PRIVACY-ENHANCED MESSAGE-----