SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
X
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
GREENBERG MICHAEL

(Last) (First) (Middle)
C/O SKECHERS U.S.A., INC.
228 MANHATTAN BEACH BLVD.

(Street)
MANHATTAN BEACH CA 90266

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SKECHERS USA INC [ SKX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Class A Common Stock 01/30/2003(1) G 8,292 A $0 17,520 I(2) By Third Party Custodian For Children
Class B Common Stock 08/07/2003 G 190,350 A $0 190,350 I(3) By Trust with a Third Party Trustee
Class B Common Stock 01/30/2003(1) G 11,056 D $0 1,165,363 I Michael & Wendy Greenberg Family Trust
Class B Common Stock 08/07/2003(4) G 109,650 A $0 1,275,013 I Michael & Wendy Greenberg Family Trust
Class A Common Stock 6,182(5) D
Class A Common Stock 6 I(6) By Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option $6.95(7) 3 10/09/2002 10/09/2012 Class A Common Stock 25,000 25,000 D
Incentive Stock Option $3.9375(7) 3 02/01/2000 02/01/2010 Class A Common Stock 5,000 5,000 D
Incentive Stock Option $13(7) 3 07/06/2000 07/06/2010 Class A Common Stock 20,805 20,805 D
Non-Qual Stock Option $13(7) 3 07/06/2000 07/06/2010 Class A Common Stock 16,695 16,695 D
Non-Qual Stock Option $6.95(7) 3 10/09/2002 10/09/2012 Class A Common Stock 25,000 25,000 D
Explanation of Responses:
1. The Michael and Wendy Greenberg Family Trust gifted 9,674 shares of Class B Common Stock to Wendy Greenberg and the Greenberg children. The shares converted to Class A Common stock upon transfer. Wendy Greenberg in turn gifted 4,146 shares of Class A Common stock to the Greenberg children and 1,382 shs to a relative.
2. These shares are held by a third party custodian for Mr. Greenberg's children. The reporting person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purposes.
3. These shares are held in trusts, of which a third party is trustee, for Mr. Greenberg's children. The reporting person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purposes.
4. Michael Greenberg, as an individual, received a gift of 109,650 shs of Class B Common Stock from the Greenberg Family Trust and immediately thereafter Michael Greenberg gifted the 109,650 shs to the Michael and Wendy Greenberg Family Trust.
5. Includes 2,857 shares of Skechers Class A Common Stock acquired on 6-30-03 via the Skechers Employee Stock Purchase Plan.
6. The reporting person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purposes.
7. These stock options were previously reported on a timely filed Form 4.
Remarks:
/s/ Greenberg, Michael 02/13/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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