0000947871-19-000759.txt : 20191023
0000947871-19-000759.hdr.sgml : 20191023
20191023175823
ACCESSION NUMBER: 0000947871-19-000759
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191023
FILED AS OF DATE: 20191023
DATE AS OF CHANGE: 20191023
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVID ROBBINS
CENTRAL INDEX KEY: 0001199969
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35641
FILM NUMBER: 191164532
MAIL ADDRESS:
STREET 1: 800 THIRD AVE
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SEARS HOMETOWN & OUTLET STORES, INC.
CENTRAL INDEX KEY: 0001548309
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311]
IRS NUMBER: 800808358
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0201
BUSINESS ADDRESS:
STREET 1: 5500 TRILLIUM BOULEVARD
STREET 2: SUITE 501
CITY: HOFFMAN ESTATES
STATE: IL
ZIP: 60192
BUSINESS PHONE: 847-286-7000
MAIL ADDRESS:
STREET 1: 5500 TRILLIUM BOULEVARD
STREET 2: SUITE 501
CITY: HOFFMAN ESTATES
STATE: IL
ZIP: 60192
FORMER COMPANY:
FORMER CONFORMED NAME: Sears Hometown & Outlet Stores, Inc.
DATE OF NAME CHANGE: 20120425
4
1
ownership.xml
X0306
4
2019-10-23
1
0001548309
SEARS HOMETOWN & OUTLET STORES, INC.
SHOS
0001199969
DAVID ROBBINS
5500 TRILLIUM BOULEVARD
SUITE 501
HOFFMAN ESTATES
IL
60192
1
0
0
0
Common Stock
2019-10-23
4
D
0
60000
3.21
D
0
D
Disposed of as a result of the merger (the "Merger") pursuant to the previously announced Agreement and Plan of Merger, dated as of June 1, 2019, among the issuer, Transform Holdco LLC, a Delaware limited liability company, and Transform Merger Corporation, a Delaware corporation (the "Merger Agreement"). At the effective time of the Merger pursuant to the Merger Agreement, each outstanding share of common stock of the issuer was cancelled and converted automatically into the right to receive $3.21 in cash.
/s/ Charles J. Hansen, as Attorney-in-Fact for David Robbins
2019-10-23