-----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, Jr/RB0TXgigytAwq8qmKLuN6xNyr/hQoPDnJtE4iAMHCSUPSrGoWnDlIS0HGW0N2 EYs0/j75XoShOe72jVaBiw== 0001181431-03-026839.txt : 20031017 0001181431-03-026839.hdr.sgml : 20031017 20031017154929 ACCESSION NUMBER: 0001181431-03-026839 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031015 FILED AS OF DATE: 20031017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: K SWISS INC CENTRAL INDEX KEY: 0000862480 STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140] IRS NUMBER: 954265988 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31248 OAK CREST DRIVE CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 BUSINESS PHONE: 8187065100 MAIL ADDRESS: STREET 1: 31248 OAK CREST DR CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLS STEVEN B CENTRAL INDEX KEY: 0000903412 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18490 FILM NUMBER: 03946233 BUSINESS ADDRESS: STREET 1: 20664 BAHAMA STREET CITY: CHATSWORTH STATE: CA ZIP: 91311 BUSINESS PHONE: 8189983388 MAIL ADDRESS: STREET 1: 20664 BAHAMA STREET CITY: CJATSWORTH STATE: CA ZIP: 91311 4 1 rrd20519.xml NICHOLS 10/15/03 CONVERSION X0201 42003-10-150 0000862480 K SWISS INC KSWS 0000903412 NICHOLS STEVEN B C/O K-SWISS INC 31248 OAK CREST DR WESTLAKE VILLAGE CA 91361 1110President & CEOClass A Common Stock, Par Value $.012003-10-154C0219100A359606IFNClass B Common Stock02003-10-154C02191000DClass A Common Stock, Par Value $.012191004031634IFNThe shares are owned by the Nichols Family Trust. Steven Nichols is co-trustee of the Nichols Family Trust and exercises sole power to vote and dispose of shares held by the Nichols Family Trust.Shares of Class B Stock are not registered under Section 12 of the Securities Exchange Act of 1934 (the "Act"), but are immediately convertible into an equal number of shares of Class A Common Stock, $.01 par value, of the Issuer. The Issuer's Class A Common Stock is registered under Section 12 of the Act. The conversion of shares of Class B Common Stock into shares of Class A Common Stock is exempt from Section 16(b) of the Act under Rule 16b-6(b) promulgated thereunder. These Class B shares are convertible at any time and they do not expire. 219,100 of the shares of Class B Common Stock were converted to shares of Class A Common Stock on the above date.The amount of derivitive securities beneficially owned at the above date is; 4,031,634 shares of Class B Common Stock. The shares of Class B Common Stock are held as follows; 31,616 shares are held by Steven Nichols as trustee of a trust for the benefit of a related individual and 4,000,018 shares are owned by the Nichols Family Trust.Steven Nichols2003-10-17 -----END PRIVACY-ENHANCED MESSAGE-----