0000883569-24-000055.txt : 20240627 0000883569-24-000055.hdr.sgml : 20240627 20240627153622 ACCESSION NUMBER: 0000883569-24-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240621 FILED AS OF DATE: 20240627 DATE AS OF CHANGE: 20240627 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BELGYA MARK R CENTRAL INDEX KEY: 0001251529 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41040 FILM NUMBER: 241078418 MAIL ADDRESS: STREET 1: ONE STRAWBERRY LANE CITY: ORRVILLE STATE: OH ZIP: 44667 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fossil Group, Inc. CENTRAL INDEX KEY: 0000883569 STANDARD INDUSTRIAL CLASSIFICATION: WATCHES, CLOCKS, CLOCKWORK OPERATED DEVICES/PARTS [3873] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 752018505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 901 S CENTRAL EXPRESSWAY CITY: RICHARDSON STATE: TX ZIP: 75080 BUSINESS PHONE: 9722342525 MAIL ADDRESS: STREET 1: 901 S CENTRAL EXPRESSWAY CITY: RICHARDSON STATE: TX ZIP: 75080 FORMER COMPANY: FORMER CONFORMED NAME: FOSSIL INC DATE OF NAME CHANGE: 19940218 4 1 wk-form4_1719516975.xml FORM 4 X0508 4 2024-06-21 0 0000883569 Fossil Group, Inc. FOSL 0001251529 BELGYA MARK R 901 S CENTRAL EXPRESSWAY RICHARDSON TX 75080 1 0 0 0 0 Common Stock 2024-06-21 4 A 0 25000 0 A 99900 D Restricted Stock Units that shall become one hundred percent (100%) vested and convertible into shares of Common Stock on the earlier of the first anniversary of the Date of Grant or the first Annual Stockholders Meeting following the Date of Grant. Consists of 25,000 Restricted Stock Units. /s/ Randy S. Hyne, Attorney-in-Fact 2024-06-27