0000892712-12-000378.txt : 20120629 0000892712-12-000378.hdr.sgml : 20120629 20120629161131 ACCESSION NUMBER: 0000892712-12-000378 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20120627 FILED AS OF DATE: 20120629 DATE AS OF CHANGE: 20120629 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: 12936192 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: 0202 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 X0305 4 2012-06-27 0000885639 KOHLS Corp KSS 0001186223 SICA FRANK V N56 W17000 RIDGEWOOD DRIVE MENOMONEE FALLS WI 53051-5660 1 0 0 0 Common Stock 2012-06-27 4 A 0 7.55 A 13887.55 D Common Stock 19628 I By spouse and trust Common Stock 1000 I By children Award of additional restricted stock in lieu of a $0.32 per share dividend issued by the Company on all Common Stock, which was payable June 27, 2012. These shares vest on the same schedule as the underlying restricted shares. Includes 1,035.55 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.) 2012-06-29 EX-24 2 sicapoa.htm POWER OF ATTORNEY

POWER OF ATTORNEY

For Executing Forms 3, 4 and 5



Know all by these presents, that the undersigned hereby constitutes and appoints each of Kevin Mansell, Richard D. Schepp, Telvin Jeffries and Jason J. Kelroy singly, his true and lawful attorney-in-fact to:


1.

execute for and behalf of the undersigned Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

 

 

2.

do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete the execution of any such Forms 3, 4, and 5 and the timely filing of such forms with the United States Securities Exchange Commission and any other authority; and

 

 

3.

take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve on his/her discretion.


The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as such attorney-in-fact might or could do of if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or his/her substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, are not assuming any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 and the rules thereunder.  This Power of Attorney shall be a durable power of attorney and shall not be affected by subsequent disability or incapacity of the undersigned.



IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 10th day of May, 2012.



 

/s/ Frank V. Sica                            

 

Frank V. Sica