0000892712-12-000693.txt : 20121227 0000892712-12-000693.hdr.sgml : 20121227 20121227182818 ACCESSION NUMBER: 0000892712-12-000693 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121226 FILED AS OF DATE: 20121227 DATE AS OF CHANGE: 20121227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Worthington John M CENTRAL INDEX KEY: 0001411816 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11084 FILM NUMBER: 121288336 MAIL ADDRESS: STREET 1: N56 W17000 RIDGEWOOD DRIVE 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: 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 X0306 4 2012-12-26 0000885639 KOHLS Corp KSS 0001411816 Worthington John M N56 W17000 RIDGEWOOD DRIVE MENOMONEE FALLS WI 53051 0 1 0 0 Chief Administrative Officer Common Stock 2012-12-26 4 A 0 1059.01 A 142205.91 D Common Stock 1758 I Held in Reporting Person's 401(k) account as of December 19, 2012 Common Stock 276 I Held in Reporting Person's Employee Stock Ownership Plan account as of December 19, 2012 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 December 26, 2012. These shares vest on the same schedule as the underlying restricted shares. Includes 142,205.91 unvested shares of restricted stock. (Jason J. Kelroy P.O.A.) 2012-12-27