0000895447-12-000007.txt : 20120104 0000895447-12-000007.hdr.sgml : 20120104 20120104162720 ACCESSION NUMBER: 0000895447-12-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111005 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON W KERRY CENTRAL INDEX KEY: 0001215347 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21360 FILM NUMBER: 12506492 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHOE CARNIVAL INC CENTRAL INDEX KEY: 0000895447 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661] IRS NUMBER: 351736614 STATE OF INCORPORATION: IN FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 7500 EAST COLUMBIA STREET CITY: EVANSVILLE STATE: IN ZIP: 47715 BUSINESS PHONE: 8128676471 MAIL ADDRESS: STREET 1: 7500 EAST COLUMBIA STREET CITY: EVANSVILLE STATE: IN ZIP: 47715 4 1 edgardoc.xml PRIMARY DOCUMENT X0304 4 2011-10-05 0 0000895447 SHOE CARNIVAL INC SCVL 0001215347 JACKSON W KERRY 7500 E. COLUMBIA STREET EVANSVILLE IN 47715 0 1 0 0 EXECUTIVE VICE PRESIDENT - CFO Common Stock 2011-10-05 4 G 0 4300 25.29 D 59280 D Common Stock 2012-01-01 4 F 0 2000 25.7 D 57280 D Represents shares withheld from the released restricted stock for the payment of applicable income and payroll withholding taxes due on release. W. Kerry Jackson 2012-01-04