-----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, FF8/BSQgZ+yqJkaeWvWXD6rTxOH3ZS6YQfpNVFXCAUjXuYxlQk7Up9+1JETJOzbG qJDk3nYPBsdz+ZqhgPnVaA== 0001209191-04-045317.txt : 20040922 0001209191-04-045317.hdr.sgml : 20040922 20040922183932 ACCESSION NUMBER: 0001209191-04-045317 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040920 FILED AS OF DATE: 20040922 DATE AS OF CHANGE: 20040922 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDSTEIN MICHAEL CENTRAL INDEX KEY: 0001043027 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21296 FILM NUMBER: 041041806 BUSINESS ADDRESS: STREET 1: 395 WEST PASSAIC STREET CITY: ROCHELLE PARK STATE: NJ ZIP: 07662 BUSINESS PHONE: 2123273441 MAIL ADDRESS: STREET 1: 84 EAST 84 STREET CITY: NEW YORK STATE: NY ZIP: 10028 4 1 biv01834_biv4mg.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-09-20 0000874841 PACIFIC SUNWEAR OF CALIFORNIA INC PSUN 0001043027 GOLDSTEIN MICHAEL 3450 EAST MIRALOMA AVE. ANAHEIM CA 92806-2101 1 0 0 0 Non-Qualified Stock Option (right to buy) 21.4500 2004-09-20 4 A 0 9000 0 A 2005-09-20 2014-09-20 Common Stock 9000 9000 D With regard to the above listed Derivative Securities, options covering 1/3rd of the shares granted become exercisable 1 year after the date granted. The remaining 2/3rds of the shares granted become exercisable on a monthly basis over the following 2 years. Michael Goldstein 2004-09-22 -----END PRIVACY-ENHANCED MESSAGE-----