-----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, WzxoVOkfrv/cd7j0KKB2Iy81389zDUnNxVdns58KQkjn3NP8axto1nlRkE6cYSPF QJWz9x2nD9V78cdKCdOiBg== 0001181431-09-039991.txt : 20090817 0001181431-09-039991.hdr.sgml : 20090817 20090817185803 ACCESSION NUMBER: 0001181431-09-039991 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090813 FILED AS OF DATE: 20090817 DATE AS OF CHANGE: 20090817 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: 091020350 MAIL ADDRESS: STREET 1: 20664 BAHAMA STREET CITY: CJATSWORTH STATE: CA ZIP: 91311 4 1 rrd250936.xml NICHOLS 08/17/09 CONVERSION AND GIFT AND HOLD CLS A X0303 4 2009-08-13 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 2009-08-13 4 C 0 20000 A 20200 I FN Class A Common Stock, Par Value $.01 2009-08-13 4 G 0 20000 D 200 I FN (1) Class B Common Stock 0 2009-08-13 4 C 0 20000 0 D Class A Common Stock, Par Value $.01 20000 7452162 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. 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. 20,000 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 7,452,162 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 7,388,930 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 2009-08-17 -----END PRIVACY-ENHANCED MESSAGE-----