0000892712-11-001032.txt : 20111230 0000892712-11-001032.hdr.sgml : 20111230 20111230111734 ACCESSION NUMBER: 0000892712-11-001032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111228 FILED AS OF DATE: 20111230 DATE AS OF CHANGE: 20111230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLOGG WILLIAM S CENTRAL INDEX KEY: 0001238804 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11084 FILM NUMBER: 111288280 MAIL ADDRESS: STREET 1: C/O KOHLS LEGAL STREET 2: N56 W170000 RIDGEWOOD DR CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 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: 0131 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 2011-12-28 0000885639 KOHLS Corp KSS 0001238804 KELLOGG WILLIAM S N56 W17000 RIDGEWOOD DRIVE MENOMONEE FALLS WI 53051-5660 1 0 0 0 Common Stock 2011-12-28 4 A 0 4.53 A 485188.71 D Common Stock 8977420 I By family trusts 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 December 28, 2011. These shares vest on the same schedule as the underlying restricted shares. Includes 911.71 unvested shares of restricted stock. Mr. Kellogg is not a trustee or beneficiary of any of the family trusts. He disclaims ownership of the trusts' shares for purposes of Section 16 of the Exchange Act and, accordingly, disclaims any obligation to report their transactions. (Richard D. Schepp P.O.A) 2011-12-30