0000892712-11-000821.txt : 20110930
0000892712-11-000821.hdr.sgml : 20110930
20110930163506
ACCESSION NUMBER: 0000892712-11-000821
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110928
FILED AS OF DATE: 20110930
DATE AS OF CHANGE: 20110930
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SICA FRANK V
CENTRAL INDEX KEY: 0001186223
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11084
FILM NUMBER: 111117250
MAIL ADDRESS:
STREET 1: CSG SYSTEMS INTERNATIONAL INC
STREET 2: 7887 E BELLEVIEW AVE STE 1000
CITY: ENGEWOOD
STATE: CO
ZIP: 801111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: KOHLS Corp
CENTRAL INDEX KEY: 0000885639
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311]
IRS NUMBER: 391630919
STATE OF INCORPORATION: WI
FISCAL YEAR END: 0128
BUSINESS ADDRESS:
STREET 1: N56 W17000 RIDGEWOOD DR
CITY: MENOMONEE FALLS
STATE: WI
ZIP: 53051
BUSINESS PHONE: 4147835800
MAIL ADDRESS:
STREET 1: N54 W13600 WOODALE DR
CITY: MENOMONEE FALLS
STATE: WI
ZIP: 53051
FORMER COMPANY:
FORMER CONFORMED NAME: KOHLS CORPORATION
DATE OF NAME CHANGE: 19930328
4
1
edgar.xml
PRIMARY DOCUMENT
X0304
4
2011-09-28
0000885639
KOHLS Corp
KSS
0001186223
SICA FRANK V
N56 W17000 RIDGEWOOD DRIVE
MENOMONEE FALLS
WI
53051-5660
1
0
0
0
Common Stock
2011-09-28
4
A
0
4.73
A
12841.18
D
Common Stock
19628
I
By spouse and trust
Common Stock
1000
I
By children
Award of additional restricted stock in lieu of a $0.25 per share dividend issued by the Company on all Common Stock, which was payable September 28, 2011. These shares vest on the same schedule as the underlying restricted shares.
Includes 907.18 unvested shares of restricted stock.
This amount represents 14,628 shares held for the account of the Reporting Person's spouse and 5,000 shares held by a trust for the Reporting Person's children for which Reporting Person's spouse serves as a trustee. The filing of this report shall not be deemed an admission that Mr. Sica is the beneficial owner of these shares for purposes of Section 16 of the Exchange Act of 1934.
The filing of this report shall not be deemed an admission that Mr. Sica is the beneficial owner of these shares for purposes of Section 16 of the Exchange Act of 1934.
(Richard D. Schepp P.O.A.)
2011-09-30