-----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, Dxoaa4N3tG1/Aa5zfMG0BpmWkGrp46jzW/T1pus2mseQ+kBZ4lGBfVQW4AylW3gc 6520p/xCDRuNVIvqTTJmWg== 0001209191-04-050847.txt : 20041103 0001209191-04-050847.hdr.sgml : 20041103 20041103105512 ACCESSION NUMBER: 0001209191-04-050847 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041101 FILED AS OF DATE: 20041103 DATE AS OF CHANGE: 20041103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON SETH R CENTRAL INDEX KEY: 0001185586 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21296 FILM NUMBER: 041115155 BUSINESS ADDRESS: STREET 1: 6301 FITCH PATH CITY: NEW ALBANY STATE: OH ZIP: 43054 BUSINESS PHONE: 6142836505 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 biv02912_biv2sj.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-11-01 0000874841 PACIFIC SUNWEAR OF CALIFORNIA INC PSUN 0001185586 JOHNSON SETH R 3450 EAST MIRALOMA AVENUE ANAHEIM CA 92806-2101 1 1 0 0 Chief Operating Officer Incentive Stock Option (right to buy) 23.6000 2004-11-01 4 A 0 12711 0 A 2005-11-01 2014-11-01 Common Stock 12711 12711 D Non-Qualified Stock Option (right to buy) 23.6000 2004-11-01 4 A 0 137289 0 A 2005-11-01 2014-11-01 Common Stock 137289 137289 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. Seth Johnson 2004-11-02 -----END PRIVACY-ENHANCED MESSAGE-----