SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Nichols David J

(Last) (First) (Middle)
C/O K-SWISS INC
31248 OAK CREST DR.

(Street)
WESTLAKE VILLAGE CA 91361

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/06/2004
3. Issuer Name and Ticker or Trading Symbol
K SWISS INC [ KSWS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options to buy Class A Common Stock 10/06/2004 10/06/2009 Class A Common Stock, Par Value $.01 40,000 $0.25 D
Options to buy Class A Common Stock 02/21/2005 02/21/2010 Class A Common Stock, Par Value $.01 2,667 $2.53 D
Options to buy Class A Common Stock (1) 05/18/2010 Class A Common Stock, Par Value $.01 133,332 $3.19 D
Options to buy Class A Common Stock (2) 03/28/2011 Class A Common Stock, Par Value $.01 200,000 $6.39 D
Options to buy Class A Common Stock (3) 07/09/2011 Class A Common Stock, Par Value $.01 100,000 $7.05 D
Options to buy Class A Common Stock (4) 02/13/2012 Class A Common Stock, Par Value $.01 12,000 $8.56 D
Options to buy Class A Common Stock 02/01/2009 07/25/2012 Class A Common Stock, Par Value $.01 5,000 $8.93 D
Options to buy Class A Common Stock 02/01/2008 07/25/2012 Class A Common Stock, Par Value $.01 5,000 $8.93 D
Options to buy Class A Common Stock 07/25/2010 07/25/2013 Class A Common Stock, Par Value $.01 40,000 $17.62 D
Class B Common Stock (5) (5) Class A Common Stock, Par Value $.01 63,240 $0.00 I FN(6)
Explanation of Responses:
1. 66,665 options vest on 5/18/04 and 66,667 options vest on 5/18/05
2. 66,667 options vested on 3/28/04, 66,666 options vest on 3/28/05 and 66,667 options vest on 3/28/06
3. 33,334 options vest on 7/9/05 and 33,333 options vest each on 7/9/06 and 7/9/07
4. 4,000 options vest each on 2/13/05, 2/13/06 and 2/13/07
5. 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 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.
6. Such shares are held by David Nichols as trustee of a trust for the benefit of a related individual.
David J Nichols 03/02/2005
** Signature of Reporting Person Date
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 5 (b)(v).
** 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 is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.