-----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, Tt6zwzk9W/OVxGZ5++esEc9fzACHjZeSsJn/seF8T5KiX4iYLCBffBXTcIduBdyE LhZKIm0lNL9DOIEX2MAL9Q== 0000883569-05-000017.txt : 20050420 0000883569-05-000017.hdr.sgml : 20050420 20050420163104 ACCESSION NUMBER: 0000883569-05-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050308 FILED AS OF DATE: 20050420 DATE AS OF CHANGE: 20050420 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FOSSIL INC CENTRAL INDEX KEY: 0000883569 STANDARD INDUSTRIAL CLASSIFICATION: WATCHES, CLOCKS, CLOCKWORK OPERATED DEVICES/PARTS [3873] IRS NUMBER: 752018505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2280 NORTH GREENVILLE AVE CITY: RICHARDSON STATE: TX ZIP: 75082 BUSINESS PHONE: 9722342525 MAIL ADDRESS: STREET 1: 2280 N GREENVILLE CITY: RICHARDSON STATE: TX ZIP: 75082 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHROFF JAL S CENTRAL INDEX KEY: 0001183973 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19848 FILM NUMBER: 05762260 BUSINESS ADDRESS: BUSINESS PHONE: 972-234-2525 MAIL ADDRESS: STREET 1: 2280 NORTH GREENVILLE AVENUE CITY: RICHARDSON STATE: TX ZIP: 75082 4 1 c0001183973d20050420f4f.xml PRIMARY DOCUMENT X0202 4 2005-03-08 0 0000883569 FOSSIL INC FOSL 0001183973 SHROFF JAL S 2280 N. GREENVILLE RICHARDSON TX 75082 1 1 0 0 Managing Director, Fossil East Stock Options (Right to buy) 25.77 2005-03-08 4 A 0 10000 0 A 2006-03-08 2015-03-08 Common Stock 10000 10000 D Stock Options (Right to buy) 25.77 2005-03-08 4 A 0 10000 0 A 2006-03-08 2015-03-08 Common Stock 10000 10000 I By Spouse As of 20% each on 3/8/06, 3/8/07, 3/8/08, 3/8/09 and 3/8/10, cumulatively. As to 25%, 3/8/06; as to 25%, 3/8/07; as to 50%, 3/8/08, cumulatively. Grants to Pervin Shroff, wife of Jal Shroff, under the 2004 Long-Term Incentive Plan of Fossil, Inc. Randy S. Hyne, Attorney-in-Fact 2005-04-20 -----END PRIVACY-ENHANCED MESSAGE-----