-----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, CF4tYFFuh+onEvxsL39WqRKs34VrI86HL0cgXAlKOJjPk8GuZVubH7aeYjyE3SLv A/JqKCuI8rmK2pS/hne4Ag== 0001183976-03-000174.txt : 20030917 0001183976-03-000174.hdr.sgml : 20030917 20030917125716 ACCESSION NUMBER: 0001183976-03-000174 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030916 FILED AS OF DATE: 20030917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KARTSOTIS TOM CENTRAL INDEX KEY: 0000936617 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19848 FILM NUMBER: 03899101 BUSINESS ADDRESS: STREET 1: 2713 WOODS LANE CITY: DALLAS STATE: TX ZIP: 75044 MAIL ADDRESS: STREET 1: 2713 WOODS LANE CITY: DALLAS STATE: TX ZIP: 75044 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FOSSIL 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: 1231 BUSINESS ADDRESS: STREET 1: 2280 NORTH GREENVILLE AVE CITY: RICHARDSON STATE: TX ZIP: 75082 BUSINESS PHONE: 9722342525 MAIL ADDRESS: STREET 1: 2280 N GREENVILLE CITY: RICHARDSON STATE: TX ZIP: 75082 4 1 c0000936617d20030917f4f.xml PRIMARY DOCUMENT X0201 42003-09-1600000883569FOSSIL INC FOSL0000936617KARTSOTIS TOM2280 N. GREENVILLERICHARDSONTX750821110ChairmanCommon Stock2003-09-164S04750025.539D6909946DCommon Stock2003-09-174S0250025.45D6907446DCommon Stock21987IMinor ChildCommon Stock1786387Iby SpouseCommon Stock4000000Iby GRATAmount reported as beneficially owned in Column 5 of 6,909,946 reflects direct ownership following the transaction on September 16, 2003.Amount reported as beneficially owned in Column 5 of 6,907,446 reflects direct ownership following the transaction on September 17, 2003.Tom Kartsotis2003-09-17 -----END PRIVACY-ENHANCED MESSAGE-----