SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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).
1. Name and Address of Reporting Person*
BELSKY JOEL A

(Last) (First) (Middle)
C/O FEDERATED DEPARTMENT STORES, INC.
7 WEST SEVENTH STREET

(Street)
CINCINNATI OH 45202

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FEDERATED DEPARTMENT STORES INC /DE/ [ FD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President and Controller
3. Date of Earliest Transaction (Month/Day/Year)
02/27/2004
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/27/2004 M 1,250 A $34.375 1,250 D
Common Stock 02/27/2004 M 7,000 A $38.0625 8,250 D
Common Stock 02/27/2004 M 5,250 A $32.4375 13,500 D
Common Stock 02/27/2004 M 3,750 A $27.3125 17,250 D
Common Stock 02/27/2004 S 1,250 D $51.63 16,000 D
Common Stock 02/27/2004 S 7,000 D $51.99 9,000 D
Common Stock 02/27/2004 S 9,000 D $52 0 D
Common Stock 1,088(1) I By 401(k) Plan
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option to Purchase Common Stock $34.375 02/27/2004 M 1,250 03/28/2001 03/28/2007 Common Stock 1,250 $34.375 0 D
Option to Purchase Common Stock $38.0625 02/27/2004 M 7,000 03/26/2000(2) 03/26/2009 Common Stock 7,000 $38.0625 0 D
Option to Purchase Common Stock $32.4375 02/27/2004 M 5,250 03/24/2001(3) 02/25/2010 Common Stock 5,250 $32.4375 1,750 D
Option to Purchase Common Stock $27.3125 02/27/2004 M 3,750 08/25/2001(4) 08/25/2010 Common Stock 3,750 $27.3125 1,250 D
Explanation of Responses:
1. Reflects matching contributions under the Issuer's 401(k) plan, derived by dividing the value of the undivided interest of the reporting person in the applicable investment fund as of February 26, 2004 by $51.82, the stock price of such date.
2. The options became exercisable as follows: 1,750 on March 26, 2000, 1,750 on March 26, 2001, 1,750 on March 26, 2002 and 1,750 on March 26, 2003.
3. The options became exercisable as follows: 1,750 on March 24, 2001, 1,750 on March 24, 2002 and 1,750 on March 24, 2003.
4. The options became exercisable as follows: 1,250 on August 25, 2001, 1,250 on August 25, 2002 and 1,250 on August 25, 2003.
/s/Padma Tatta Cariappa, as attorney-in-fact for Joel Belsky pursuant to a Power of Attorney 03/01/2004
** 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.
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 Number.