-----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, PHEJexYmMEWXBULMx705JBgPA5mn9zzJZsmtn/iQjstDix4W99BhH4oNolIxq6/k VDifMMhBE6ADMHlBtJzjqA== 0001175747-06-000001.txt : 20060411 0001175747-06-000001.hdr.sgml : 20060411 20060411151640 ACCESSION NUMBER: 0001175747-06-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060407 FILED AS OF DATE: 20060411 DATE AS OF CHANGE: 20060411 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAYLESS SHOESOURCE INC /DE/ CENTRAL INDEX KEY: 0001060232 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661] IRS NUMBER: 431813160 STATE OF INCORPORATION: DE FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 3231 SOUTH EAST SIXTH STREET CITY: TOPEKA STATE: KS ZIP: 66607-2207 BUSINESS PHONE: 7852335171 MAIL ADDRESS: STREET 1: 3231 S E 6TH ST CITY: TOPEKA STATE: KS ZIP: 66607-2207 FORMER COMPANY: FORMER CONFORMED NAME: PAYLESS SHOESOURCE HOLDINGS INC DATE OF NAME CHANGE: 19980421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LENTZ JAY A CENTRAL INDEX KEY: 0001175747 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14770 FILM NUMBER: 06753525 BUSINESS ADDRESS: BUSINESS PHONE: 7852952087 MAIL ADDRESS: STREET 1: 3231 S E SIXTH AVENUE CITY: TOPEKA STATE: KS ZIP: 66607 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2006-04-07 0001060232 PAYLESS SHOESOURCE INC /DE/ PSS 0001175747 LENTZ JAY A 3231 S.E. SIXTH AVENUE TOPEKA KS 66607 0 1 0 0 Senior Vice President Common Stock 2006-04-07 4 A 0 3300 0 A 7476 D Common Stock 10971 I Shares held in trust Employee Stock Option 22.48 2006-04-07 4 A 0 5000 0 A 2013-05-31 Common Stock 5000 5000 D Stock Appreciation Right 22.48 2007-04-07 4 A 0 13000 0 A 2013-05-31 Common Stock 13000 13000 D Employee Stock Option 22.48 2006-04-07 4 A 0 5600 0 A 2013-05-31 Common Stock 5600 5600 D Includes approximately 676 shares are held under the Payless ShoeSource, Inc. Stock Ownership Plan. Shares held in Trust. Grant of an option to buy 5,000 shares of common stock under the Payless ShoeSource, Inc. 1996 Stock Incentive Plan which provides for tax withholding rights in a transaction exempt under Rule 16b-3. The option has a three-year cliff vest and will vest on May 31, 2009. The stock appreciation right granted under the Payless ShoeSource, Inc. 1996 Stock Incentive Plan which provides for tax withholding rights in a transaction exempt under Rule 16b-3. The option vests in three equal installments over a three-year period on May 31st of each year following the date of the grant. The stock appreciation right is required to be settled in stock. Grant of an option to buy 5,600 shares of common stock under the Payless ShoeSource, Inc. 1996 Stock Incentive Plan which provides for tax withholding rights in a transaction exempt under Rule 16b-3. The option vests in three equal installments over a three-year period on May 31st of each year following the date of the grant. Jay A. Lentz 2006-04-10 -----END PRIVACY-ENHANCED MESSAGE-----