4 1 gajunf4.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ------------------------ --------------------------- FORM 4 OMB APPROVAL ------------------------ --------------------------- OMB Number:3235-0287 _ Check this box if no --------------------------- longer subject to Expires: January 31, 2005 Section 16. Form 4 --------------------------- or form 5 obligations Estimated average burden may continue. See hours per response...0.5 Instruction 1(b). --------------------------- U.S. SECURITIES AND EXCHANGE COMMISSION --------------------------------------- WASHINGTON, DC 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP -------------------------------------------- Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ________________________________________________________________________________ 1. Name and Address of Reporting Person* Armstrong Gerald S. -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o AnnTaylor Stores Corporation 142 West 57th Street -------------------------------------------------------------------------------- (Street) New York NY 10019 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol AnnTaylor Stores Corporation (ANN) ________________________________________________________________________________ 3. IRS or Social Security Number of Reporting Person(Voluntary) ________________________________________________________________________________ 4. Statement for Month/Year May 2002 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) ________________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ________________________________________________________________________________ 7. 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 Acquired, Disposed of, or Beneficially Owned ================================================================================
4. Securities Acquired (A) 3. or Disposed of (D) 7. Transaction (Instr. 3, 4 and 5) 5. 6. Nature of 1. 2. Code ---------------------- Amount of Securities Ownership Form: Indirect Title of Transaction (Instr. 8) (A) Beneficially Owned Direct (D) or Beneficial Security Date --------------- or at End of Month Indirect (I) Ownership (Instr. 3) (Month/Day/Year) Code V Amount (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
(Print or Type Responses) (Over) SEC 2270 (10-94) -------------------------------------------------------------------------------- 2 FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ities In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Bene- direct Price Trans- action or Disposed Expiration ---------------- Deriv- Owned ficially Bene- 1. of action Code of (D) (Month/Day/Year) Amount ative at End Owned ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of at End Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month of Month ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ Stock Option $29.30 5/2/02 A V 3,000 5/2/03 5/2/12 Common 3,000 3,000 D (right to buy) See See Stock See See Note 1 Note 2 Note 2 Note 2 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: Note 1: This number reflects a post 3-for-2 stock split exercise price. Note 2: This number reflects a post 3-for-2 stock split number. /s/Gerald S. Armstrong 5/30/2002 --------------------------------------------- ----------------------- **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 4(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 provided is insufficient, see Instruction 6 for procedure. Page 2