0000895447-22-000019.txt : 20220315
0000895447-22-000019.hdr.sgml : 20220315
20220315161242
ACCESSION NUMBER: 0000895447-22-000019
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220129
FILED AS OF DATE: 20220315
DATE AS OF CHANGE: 20220315
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WEAVER DELORES B
CENTRAL INDEX KEY: 0001033311
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21360
FILM NUMBER: 22741223
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: 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
5
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
5
2022-01-29
0
0
0
0000895447
SHOE CARNIVAL INC
SCVL
0001033311
WEAVER DELORES B
7500 E. COLUMBIA STREET
EVANSVILLE
IN
47715
0
0
1
0
Common Stock
2021-05-24
5
G
0
171784
0.0
A
3384590
I
by Spouse
Common Stock
2021-12-06
5
G
0
119022
0.0
A
3503612
I
by Spouse
Common Stock
4999844
D
Represents shares of common stock of Shoe Carnival, Inc. (the "Company") that the reporting person's spouse received from the J. Wayne Weaver 2020 Grantor Retained Annuity Trust for Leigh Anne Weaver as an annuity payment on May 24, 2021, in accordance with the terms of such trust, as adjusted to reflect the two-for-one stock split of the shares of common stock of the Company, which was completed on July 19, 2021 (the "stock split").
This amount and the amount of shares reported as directly beneficially owned by the reporting person reflects the stock split completed on July 19, 2021.
Represents shares of common stock of the Company that the reporting person's spouse received from the J. Wayne Weaver 2019 Grantor Retained Annuity Trust for Leigh Anne Weaver as an annuity payment on December 6, 2021, in accordance with the terms of such trust.
By: W. Kerry Jackson For: Delores B. Weaver
2022-03-15