0000895447-11-000051.txt : 20110929 0000895447-11-000051.hdr.sgml : 20110929 20110929170002 ACCESSION NUMBER: 0000895447-11-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110927 FILED AS OF DATE: 20110929 DATE AS OF CHANGE: 20110929 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAKER TIMOTHY T CENTRAL INDEX KEY: 0001215348 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21360 FILM NUMBER: 111115078 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHOE CARNIVAL INC CENTRAL INDEX KEY: 0000895447 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661] IRS NUMBER: 351736614 STATE OF INCORPORATION: IN FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 7500 EAST COLUMBIA STREET CITY: EVANSVILLE STATE: IN ZIP: 47715 BUSINESS PHONE: 8128676471 MAIL ADDRESS: STREET 1: 7500 EAST COLUMBIA STREET CITY: EVANSVILLE STATE: IN ZIP: 47715 4 1 edgardoc.xml PRIMARY DOCUMENT X0304 4 2011-09-27 0 0000895447 SHOE CARNIVAL INC SCVL 0001215348 BAKER TIMOTHY T 7500 E. COLUMBIA STREET EVANSVILLE IN 47715 0 1 0 0 EXEC. VP - STORE OPERATIONS Common Stock 2011-09-27 4 M 0 5000 17.12 A 66336 D Common Stock 2011-09-27 4 S 0 5000 24.5 D 61336 D Non-Qualified Stock Option (right to buy) 17.12 2011-09-27 4 M 0 5000 24.5 D 2012-04-03 Common Stock 5000 0 D The option becomes exercisable in thirds, commencing one year after the date of grant. These options were set to expire just under seven months from date of exercise. By: W. Kerry Jackson For: Timothy T. Baker 2011-09-29