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