-----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, SBD8ENHLXDaWbUZKp73Pam8iRwj7BDBH1WycSKlxk/XhLFhPBkdVImDqL08M5FVh UfwoXOoipWp3pbVl2Z1HuQ== 0001209191-04-027220.txt : 20040521 0001209191-04-027220.hdr.sgml : 20040521 20040521170930 ACCESSION NUMBER: 0001209191-04-027220 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040519 FILED AS OF DATE: 20040521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENSEN JULIUS III CENTRAL INDEX KEY: 0001209294 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21296 FILM NUMBER: 04824906 BUSINESS ADDRESS: STREET 1: 3450 E MIRALOMA AVENUE CITY: ANAHEIM STATE: CA ZIP: 92806 BUSINESS PHONE: 7144144000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFIC SUNWEAR OF CALIFORNIA INC CENTRAL INDEX KEY: 0000874841 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-APPAREL & ACCESSORY STORES [5600] IRS NUMBER: 953759463 STATE OF INCORPORATION: CA FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 3450 EAST MIRALOMA AVENUE CITY: ANAHEIM STATE: CA ZIP: 92806 BUSINESS PHONE: 714-414-4000 MAIL ADDRESS: STREET 1: 3450 EAST MIRALOMA AVENUE CITY: ANAHEIM STATE: CA ZIP: 92806 4 1 biv99117_biv7jj.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-05-19 0000874841 PACIFIC SUNWEAR OF CALIFORNIA INC PSUN 0001209294 JENSEN JULIUS III 10715 DE FRAYNE DR. VERO BEACH FL 32963 1 0 0 0 Non-Qualified Stock Option (right to buy) 21.3000 2004-05-19 4 A 0 9000 0 A 2005-05-19 2014-05-19 Common Stock 9000 9000 D With regard to the above listed Derivative Securities, options covering 33% of the shares granted become exercisable 1 year after the date granted. The remaining 67% of the shares granted become exercisable on a monthly basis over the following 2 years. Julius Jensen III 2004-05-21 -----END PRIVACY-ENHANCED MESSAGE-----