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