0000895447-23-000011.txt : 20230313 0000895447-23-000011.hdr.sgml : 20230313 20230313160931 ACCESSION NUMBER: 0000895447-23-000011 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230128 FILED AS OF DATE: 20230313 DATE AS OF CHANGE: 20230313 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: 23727377 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: 0128 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 2023-01-28 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 2022-03-17 5 G 0 90000 0.0 D 3413612 I by Spouse Common Stock 2022-05-23 5 G 0 267917 0.0 A 3681529 I by Spouse Common Stock 4999844 D Represents shares of common stock of Shoe Carnival, Inc. 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 23, 2022, in accordance with the terms of such trust. By: W. Kerry Jackson For: Delores B. Weaver 2023-03-13