-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PnGSK4VCpcu2dw9hYz318o3+fpjm7wD1diERaJ9kS00wJyGGitAKbqTashRh03US xu+w5byMTMcjqafMnPLDIA== 0000912057-97-004643.txt : 19970222 0000912057-97-004643.hdr.sgml : 19970222 ACCESSION NUMBER: 0000912057-97-004643 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970212 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FOSSIL INC CENTRAL INDEX KEY: 0000883569 STANDARD INDUSTRIAL CLASSIFICATION: WATCHES, CLOCKS, CLOCKWORK OPERATED DEVICES/PARTS [3873] IRS NUMBER: 752018505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-43117 FILM NUMBER: 97528085 BUSINESS ADDRESS: STREET 1: 2280 NORTH GREENVILLE AVE CITY: RICHARDSON STATE: TX ZIP: 75082 BUSINESS PHONE: 2142342525 MAIL ADDRESS: STREET 1: 2280 N GREENVILLE CITY: RICHARDSON STATE: TX ZIP: 75082 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KARTSOTIS TOM CENTRAL INDEX KEY: 0000936617 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 2713 WOODS LANE CITY: DALLAS STATE: TX ZIP: 75044 MAIL ADDRESS: STREET 1: 2713 WOODS LANE CITY: DALLAS STATE: TX ZIP: 75044 SC 13G/A 1 SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3) FOSSIL, INC. ---------------------------------- (Name of Issuer) Common Stock, Par Value $.01 ---------------------------------- (Title of Class of Securities) 349882100 ---------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement X. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on following page(s)) Page 1 of 4 Pages --- CUSIP No. 349882100 13G Page 2 of 4 Pages --------- --- --- - ------------------------------------------------------------------------------- (1) Names of Reporting Persons. S.S. or I.R.S. Identification Nos. of Above Persons Tom Kartsotis - ------------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member (a) / / of a Group* (b) / / - ------------------------------------------------------------------------------- (3) SEC Use Only - ------------------------------------------------------------------------------- (4) Citizenship or Place of Organization United States of America - ------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power Beneficially 4,831,466 Owned by -------------------------------------------------- Each Reporting (6) Shared Voting Power Person With 0 -------------------------------------------------- (7) Sole Dispositive Power 4,831,466 -------------------------------------------------- (8) Shared Dispositive 0 - ------------------------------------------------------------------------------- (9) Aggregate Amount Beneficially Owned by Each Reporting Person 4,831,466 - ------------------------------------------------------------------------------- (10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* X - ------------------------------------------------------------------------------- (11) Percent of Class Represented by Amount in Row (9) 36.6% - ------------------------------------------------------------------------------- (12) Type of Reporting Person* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Page 3 of 4 Pages --- --- ITEM 1(a). NAME OF ISSUER Fossil, Inc. - ------------------------------------------------------------------------------- ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES 2280 N. Greenville Richardson, Texas 75082 - ------------------------------------------------------------------------------- ITEM 2(a). NAME OF PERSON(S) FILING: Tom Kartsotis - ------------------------------------------------------------------------------- ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE 2280 N. Greenville Richardson, Texas 75082 - ------------------------------------------------------------------------------- ITEM 2(c). CITIZENSHIP United States of America - ------------------------------------------------------------------------------- ITEM 2(d). TITLE OF CLASS OF SECURITIES Common Stock, Par Value $.01 - ------------------------------------------------------------------------------- ITEM 2(e). CUSIP NUMBER: 349882100 - ------------------------------------------------------------------------------- ITEM 3 Not Applicable - ------------------------------------------------------------------------------- ITEM 4 Ownership (a) Amount Beneficially Onwed: 5,346,842(1) (b) Percent of Class: 40.52% (c) Number of Shares as to Which Such Person Has: (i) sole power to vote or to direct the vote: 5,346,842(1) (ii) sole power to dispose or to direct the disposition of: 5,346,842(1) (iv) shared power to dispose or to direct disposition of: 0 - -------------------- (1) Includes 502,300 shares owned by Lynne Kartsotis, wife of Tom Kartsotis, as to which Mr. Kartsotis disclaims beneficial ownership, and 5,110 shares owned by Mr. Kartsotis as custodian for Annie Grace Kartsotis, his minor daughter. Excludes 25,750 shares issuable pursuant to the exercise of stock options which are owned by Lynne Kartsotis, as of December 31, 1996, as to which Mr. Kartsotis disclaims beneficial ownership. Page 4 of 4 Pages --- --- ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS Not Applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON Not Applicable - ------------------------------------------------------------------------------- ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not Applicable - ------------------------------------------------------------------------------- ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not Applicable - ------------------------------------------------------------------------------- ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not Applicable - ------------------------------------------------------------------------------- ITEM 10. CERTIFICATION Not Applicable - ------------------------------------------------------------------------------- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 3, 1997 ---------------------------------------- (Date) /s/ Tom Kartostis ---------------------------------------- (Signature) -----END PRIVACY-ENHANCED MESSAGE-----