-----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, KtajrSAlymhXXvM3qoI0c0eJNGtjMgqqMdHXUgJuhPof2zmmZuuEpDWVmiHBk4QD ruiydpumZpJiiS6UUt6sHA== 0001179110-05-009763.txt : 20050513 0001179110-05-009763.hdr.sgml : 20050513 20050513123332 ACCESSION NUMBER: 0001179110-05-009763 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050511 FILED AS OF DATE: 20050513 DATE AS OF CHANGE: 20050513 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Zumiez Inc CENTRAL INDEX KEY: 0001318008 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-APPAREL & ACCESSORY STORES [5600] IRS NUMBER: 911040022 BUSINESS ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 BUSINESS PHONE: 425-551-1564 MAIL ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARNUM WILLIAM M JR CENTRAL INDEX KEY: 0001223284 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51300 FILM NUMBER: 05827629 BUSINESS ADDRESS: STREET 1: QUIKSILVER INC STREET 2: 15202 GRAHAM ST CITY: HUNTINGDON BEACH STATE: CA ZIP: 92649 BUSINESS PHONE: 714 889 4216 MAIL ADDRESS: STREET 1: ZI 1677 AMALFI DR CITY: PACIFIC PALISADES STATE: CA ZIP: 90272 4 1 edgar.xml FORM 4 - X0202 4 2005-05-11 0 0001318008 Zumiez Inc ZUMZ 0001223284 BARNUM WILLIAM M JR 11150 SANTA MONICA BLVD. SUITE 1200 LOS ANGELES CA 90025 1 0 0 0 Common stock 2005-05-11 4 A 0 6000 18.00 A 6000 D Common stock 2005-05-11 4 S 0 1285735 16.74 D 3010795 I See footnote Reflects securities held by Brentwood-Zumiez Investors, LLC of which Brentwood Associates Private Equity III, L.P. is the managing member. Brentwood Private Equity III, LLC is the general partner of Brentwood Associates Private Equity III, L.P. The reporting person is a managing member of Brentwood Private Equity III, LLC. The reporting person disclaims beneficial ownership of these securites, and this report shall not be deemed an admission that such reporting person is the beneficial owner of the securities for Section 16 purposes or for any other purpose. Chris K. Visser, Attorney-in-Fact 2005-05-13 -----END PRIVACY-ENHANCED MESSAGE-----