0000895447-21-000019.txt : 20210315
0000895447-21-000019.hdr.sgml : 20210315
20210315160545
ACCESSION NUMBER: 0000895447-21-000019
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210130
FILED AS OF DATE: 20210315
DATE AS OF CHANGE: 20210315
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WEAVER WAYNE J
CENTRAL INDEX KEY: 0001033310
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21360
FILM NUMBER: 21741521
MAIL ADDRESS:
STREET 1: TWO STAMFORD PLAZA
STREET 2: 281 TRESSER BLVD P O BOX 1214
CITY: STAMFORD
STATE: CT
ZIP: 06904-1214
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: 0202
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
5
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
5
2021-01-30
0
0
0
0000895447
SHOE CARNIVAL INC
SCVL
0001033310
WEAVER WAYNE J
7500 E. COLUMBIA STREET
EVANSVILLE
IN
47715
1
1
1
0
CHAIRMAN OF THE BOARD
Common Stock
2020-04-27
5
G
0
1285536
0.0
A
2130954
D
Common Stock
2020-04-28
5
G
0
11636
0.0
A
2142590
D
Common Stock
2020-05-13
5
G
0
642768
0.0
D
1499822
D
Common Stock
2020-09-08
5
G
0
106581
0.0
A
1606403
D
Common Stock
2499922
I
by Spouse
Includes 642,768 shares of common stock of Shoe Carnival, Inc. (the "Company") that the reporting person received from the J. Wayne Weaver 2018 Grantor Retained Annuity Trust for Leigh Anne Weaver as an annuity payment on April 27, 2020, in accordance with the terms of such trust, and 642,768 shares of common stock of the Company that the reporting person received from the J. Wayne Weaver 2018 Grantor Retained Annuity Trust for Bradley Wayne Weaver (the "Bradley Weaver 2018 GRAT") as an annuity payment on April 27, 2020, in accordance with the terms of such trust.
Represents shares of common stock of the Company that the reporting person reacquired from the Bradley Weaver 2018 GRAT on April 28, 2020, in accordance with the terms of such trust.
Represents shares of common stock of the Company transferred by the reporting person to the J. Wayne Weaver 2020 Grantor Retained Annuity Trust for Leigh Anne Weaver (the "Leigh Weaver 2020 GRAT") on May 13, 2020. Leigh Anne Weaver is the sole trustee of the Leigh Weaver 2020 GRAT and, as sole trustee, has sole voting and dispositive power with respect to the shares held by the Leigh Weaver 2020 GRAT. The reporting person did not retain any voting or dispositive power over the shares held by the Leigh Weaver 2020 GRAT.
Represents shares of common stock of the Company that the reporting person received from the J. Wayne Weaver 2019 Grantor Retained Annuity Trust for Leigh Anne Weaver as an annuity payment on September 8, 2020, in accordance with the terms of such trust.
By: W. Kerry Jackson For: J. Wayne Weaver
2021-03-15