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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Phantom Stock | (4) | 02/24/2006 | A | 263 (5) | (6) | (7) | Common Stock | 263 | $ 12.79 (2) | 2,121 (3) | D | ||||
Stock Purchase Option | $ 12.66 | 02/24/2006 | A | 41,000 | 02/24/2007(8) | 02/24/2013 | Common Stock | 41,000 | $ 0 | 41,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COOPER JOE R 300 PHILLIPI ROAD COLUMBUS, OH 43228 |
Senior Vice President & CFO |
Chadwick P. Reynolds, attorney in fact for Joe R. Cooper | 02/28/2006 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The reported common stock was acquired under the Big Lots Savings Plan ("401(k) Plan") as a result of a matching contribution by the Issuer in the form of the Issuer's common stock, as contemplated by the terms of the 401(k) Plan. |
(2) | Represents the market value per share of the Issuer's common stock at the matching contribution. |
(3) | This information is based on a plan statement dated February 27, 2006. |
(4) | One-for-one. |
(5) | The reported phantom stock was acquired under the Big Lots Supplemental Savings Plan ("Supplemental Plan") as a result of the matching contribution by the Issuer in the form of the Issuer's common stock, as contemplated by the terms of the Supplemental Plan. |
(6) | Immediately. |
(7) | Not applicable. |
(8) | The option vests in four equal annual installments beginning on February 24, 2007. |