0001127602-21-001548.txt : 20210113 0001127602-21-001548.hdr.sgml : 20210113 20210113103244 ACCESSION NUMBER: 0001127602-21-001548 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210102 FILED AS OF DATE: 20210113 DATE AS OF CHANGE: 20210113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KARTSOTIS KOSTA N CENTRAL INDEX KEY: 0000936615 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19848 FILM NUMBER: 21525362 MAIL ADDRESS: STREET 1: 901 S. CENTRAL EXPRESSWAY CITY: RICHARDSON STATE: TX ZIP: 75080 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fossil Group, Inc. CENTRAL INDEX KEY: 0000883569 STANDARD INDUSTRIAL CLASSIFICATION: WATCHES, CLOCKS, CLOCKWORK OPERATED DEVICES/PARTS [3873] IRS NUMBER: 752018505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2021-01-02 0 0 0000883569 Fossil Group, Inc. FOSL 0000936615 KARTSOTIS KOSTA N 901 S. CENTRAL EXPRESSWAY RICHARDSON TX 75080 1 1 Chairman of the Board & CEO Common Stock 2020-12-31 5 G 0 30000 0 D 3260837 D Bona fide gift without consideration of any kind. /s/ Kosta N. Kartsotis 2021-01-13