0000895447-17-000065.txt : 20171030 0000895447-17-000065.hdr.sgml : 20171030 20171030163212 ACCESSION NUMBER: 0000895447-17-000065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171027 FILED AS OF DATE: 20171030 DATE AS OF CHANGE: 20171030 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: 171162730 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 X0306 4 2017-10-27 0 0000895447 SHOE CARNIVAL INC SCVL 0001215347 JACKSON W KERRY 7500 E. COLUMBIA STREET EVANSVILLE IN 47715 0 1 0 0 SENIOR EVP - COO & CFO Common Stock 2017-10-27 4 F 0 10001 21.98 D 144524 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 2017-10-30