FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/28/2007 |
3. Issuer Name and Ticker or Trading Symbol
PACIFIC SUNWEAR OF CALIFORNIA INC [ PSUN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 1,130 | D | |
Restricted Stock Award(1) | 13,500 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Incentive Stock Option (right to buy) | 03/15/2007 | 03/15/2013(2) | Common Stock | 10,000 | $22.69 | D | |
Non-Qualified Stock Option (right to buy) | 08/06/2002 | 08/06/2011(2) | Common Stock | 5,625 | $7.26 | D | |
Non-Qualified Stock Option (right to buy) | 09/05/2001 | 09/25/2010(2) | Common Stock | 11,250 | $8.53 | D | |
Non-Qualified Stock Option (right to buy) | 02/04/2003 | 02/04/2012(2) | Common Stock | 6,750 | $9.49 | D | |
Non-Qualified Stock Option (right to buy) | 03/11/2004 | 03/11/2013(2) | Common Stock | 6,000 | $12.5 | D | |
Non-Qualified Stock Option (right to buy) | 02/25/2005 | 02/25/2014(2) | Common Stock | 4,400 | $24.75 | D | |
Non-Qualified Stock Option (right to buy) | 03/21/2006 | 03/21/2012(2) | Common Stock | 5,000 | $27.08 | D | |
Stock Appreciation Rights | 04/02/2008 | 04/02/2014(3) | Common Stock | 15,000 | $20.86 | D |
Explanation of Responses: |
1. Award of restricted common stock. 3,500 shares granted on 10/12/07 and 5,000 shares granted on 4/2/07. These shares vest over a 4 year period, with 25% vesting one year from the grant date and each succeeding anniversary until all shares have vested. An additional 5,000 shares were granted on 6/6/06, where 25% vest 2 years from the grant date, 25% vest three years from the grant date, and the remaining 50% vest 4 years from the grant date. |
2. Options covering 25% of the shares granted became exercisable on this date, which is 1 year after the date granted. The remaining 75% of the shares granted become exercisable on a monthly basis over the following 3 years. |
3. Stock Appreciation Rights covering 25% of the number granted become exercisable on this date, which is 1 year after the date granted. The remaining 75% become exercisable on a monthly basis over the following 3 years. |
Remarks: |
/s/ Michael L. Henry | 11/30/2007 | |
** 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 5 (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. |