-----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, DBskn8TnN/S1D9Y9Y9+7nwvVMLHSlr+Dk7r6aFgCQ7OeZ9YBQq6b6E8Rq+3KdlMx A5USAfIRdlzlnr697B0E0Q== 0001181431-05-060539.txt : 20051109 0001181431-05-060539.hdr.sgml : 20051109 20051109170336 ACCESSION NUMBER: 0001181431-05-060539 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051107 FILED AS OF DATE: 20051109 DATE AS OF CHANGE: 20051109 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: 051190865 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 rrd96681.xml NICHOLS 11/07/05 CONVERSION AND GIFT X0202 4 2005-11-07 0 0000862480 K SWISS INC KSWS 0000903412 NICHOLS STEVEN B C/O K-SWISS INC 31248 OAK CREST DR WESTLAKE VILLAGE CA 91361 1 1 1 0 President & CEO Class A Common Stock, Par Value $.01 2005-11-07 4 C 0 20000 A 20000 I FN Class A Common Stock, Par Value $.01 2005-11-07 4 G 0 20000 D 0 I FN Class B Common Stock 0 2005-11-07 4 C 0 20000 0 D Class A Common Stock, Par Value $.01 20000 7722662 I FN The 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 of 1934 (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. The amount of Class B Common Stock beneficially owned at the above date is 7,722,662 shares. 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 7,659,430 shares are owned by the Nichols Family Trust. This bona fide gift of 20,000 shares of Class A Common Stock to a charitable foundation (of which the Reporting Person is co-trustee) is exempt from Section 16(b) of the Act under Rule 16b-5 and Rules 16a-10 and 16a-13 under Section 16 of the Act. Steven Nichols 2005-11-08 -----END PRIVACY-ENHANCED MESSAGE-----