-----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, NCS4u0H5AAnyH+RDCAYGiGpIB6ODEh/eVFP9rej2ApA72UFk5U/S4j+qQZbRdouN X6BV2jP1GFbOmsPib89mDg== 0001181431-04-002698.txt : 20040114 0001181431-04-002698.hdr.sgml : 20040114 20040114161920 ACCESSION NUMBER: 0001181431-04-002698 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040112 FILED AS OF DATE: 20040114 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: 04525136 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 rrd28964.xml NICHOLS 01/12/04 CONVERSION AND SALE X0201 42004-01-120 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 $.012004-01-124C0150000A168212IFNClass A Common Stock, Par Value $.012004-01-122004-01-124S050025.53D167712IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S030025.54D167412IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S0100025.55D166412IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S070025.56D165712IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S0189025.57D163822IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S030025.58D163522IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S085025.6D162672IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S0236625.61D160306IFN (1)Class A Common Stock, Par Value $.012004-01-12200 4-01-124S0285325.62D157453IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S0131525.63D156138IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S0170025.64D154438IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S0172125.65D152717IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S010425.66D152613IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S030025.67D152313IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S01200 25.7D151113IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S050025.71D150613IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S017625.72D150437IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S052525.73D149912IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S040025.74D149512IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S042425.79D149088IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S037625.85D148712IFN (1)Class A Common Stock, Par Value $.012004-01-122004-01-124S050025.89D148212IFN (1)Class B Common Stock02004-01-124C01500000DClass A Common Stock, Par Value $.011500007913268IFNThe 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 Common Stock are not registered under Section 12 of the Securities Exchange Act. The conversion of shares of Class B Common Stock into shares of Class A Com mon 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. 150,000 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; 7,913,268 shares of Class B Common Stock. The shares of Class B Common Stock are held as follows; 63,232 shares are held by Steven Nichols as trustee of a trust for the benefit of a related individual and 7,850,036 shares are owned by the Nichols Family Trust.All amounts above reflect the December 2003, two for one stock splitJanice Smith, by power of attorney for Steven Nichols2004-01-14 -----END PRIVACY-ENHANCED MESSAGE-----