0000110471-24-000083.txt : 20240506
0000110471-24-000083.hdr.sgml : 20240506
20240506165128
ACCESSION NUMBER: 0000110471-24-000083
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240502
FILED AS OF DATE: 20240506
DATE AS OF CHANGE: 20240506
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KOLLAT DAVID T
CENTRAL INDEX KEY: 0001015790
STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140]
ORGANIZATION NAME: 04 Manufacturing
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-06024
FILM NUMBER: 24918317
BUSINESS ADDRESS:
STREET 1: C/O 22, INC.
STREET 2: 4410 SMOTHERS ROAD
CITY: WESTERVILLE
STATE: OH
ZIP: 43081
BUSINESS PHONE: 6145230041
MAIL ADDRESS:
STREET 1: 9341 COURTLAND DR
CITY: ROCKFORD
STATE: MI
ZIP: 49351
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WOLVERINE WORLD WIDE INC /DE/
CENTRAL INDEX KEY: 0000110471
STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 381185150
STATE OF INCORPORATION: MI
FISCAL YEAR END: 1230
BUSINESS ADDRESS:
STREET 1: 9341 COURTLAND DR
CITY: ROCKFORD
STATE: MI
ZIP: 49351
BUSINESS PHONE: 6168665500
MAIL ADDRESS:
STREET 1: 9341 COURTLAND DR
CITY: ROCKFORD
STATE: MI
ZIP: 49351
4
1
wk-form4_1715028660.xml
FORM 4
X0508
4
2024-05-02
0
0000110471
WOLVERINE WORLD WIDE INC /DE/
WWW
0001015790
KOLLAT DAVID T
C/O 9341 COURTLAND DRIVE NE
ROCKFORD
MI
49351
1
0
0
0
0
Common Stock
2024-05-02
4
M
0
4590
A
158521
D
Common Stock
7731
I
By Trust
Common Stock
38140
I
By Trust
Common Stock
57210
I
By Trust
Restricted Stock Units
2024-05-02
4
A
0
13315
0
A
Common Stock
13315
13315
D
Restricted Stock Units
2024-05-02
4
M
0
4590
0
D
Common Stock
4590
0
D
Restricted stock units convert into shares of Common Stock on a one-for-one basis
Shares held by David T Kollat Trust.
Shares held by Kollat Children's Trust f/b/o Andra Gillum.
Shares held by Kollat Children's Trust f/b/o Lisa Adrion.
The Restricted Stock Units vest on May 2, 2025.
On May 2, 2019, the Reporting Person was granted 4,590 restricted stock units, vesting on the first anniversary of the grant date. The Reporting Person elected to defer receipt of the underlying shares of Common Stock until May 2, 2024.
/s/ David Latchana, by Power of Attorney
2024-05-06