0000110471-24-000100.txt : 20240507
0000110471-24-000100.hdr.sgml : 20240507
20240507164339
ACCESSION NUMBER: 0000110471-24-000100
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240503
FILED AS OF DATE: 20240507
DATE AS OF CHANGE: 20240507
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: 24922753
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_1715114606.xml
FORM 4
X0508
4
2024-05-03
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
2024-05-03
4
M
0
9515
A
168036
D
Common Stock
7731
I
By Trust
Common Stock
38140
I
By Trust
Common Stock
57210
I
By Trust
Restricted Stock Units
2024-05-03
4
M
0
9515
0
D
Common Stock
9515
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.
On May 3, 2023, the Reporting Person was granted 9,515 restricted stock units, vesting on the first anniversary of the grant date.
/s/ David Latchana, by Power of Attorney
2024-05-07